| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.55 | $11.48 | $13.80 | |
Aetna
| Professional | $7.94 | $10.00 | $10.96 | |
Cigna
| Professional | $9.33 | $9.33 | $13.80 | |
HMSA
| Professional | $19.95 | $25.70 | $28.18 | |
Kaiser Permanente
| Professional | $11.48 | $13.80 | $17.38 | |
United
| Professional | $4.79 | $16.22 | $22.39 | |
University Health Alliance
| Professional | $12.88 | $20.89 | $28.84 |