| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.62 | $7.50 | $9.61 | |
Aetna
| Professional | $28.56 | $28.56 | $28.56 | |
Cigna
| Professional | $6.28 | $9.61 | $9.61 | |
HMSA
| Professional | $13.05 | $17.22 | $20.16 | |
Kaiser Permanente
| Professional | $8.02 | $9.61 | $12.03 | |
United
| Professional | $3.37 | $9.61 | $15.56 | |
University Health Alliance
| Professional | $8.98 | $14.56 | $20.72 |