| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.13 | $62.87 | $69.31 | |
Aetna
| Professional | $13.83 | $17.51 | $30.19 | |
Cigna
| Professional | $12.56 | $12.56 | $12.56 | |
HMSA
| Professional | $20.93 | $27.59 | $32.49 | |
Kaiser Permanente
| Professional | $15.92 | $19.10 | $23.22 | |
United
| Professional | $9.55 | $19.10 | $30.88 | |
University Health Alliance
| Professional | $4.94 | $18.98 | $29.77 |