| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.55 | $97.53 | $156.77 | |
Aetna
| Professional | $4.66 | $6.92 | $10.67 | |
Cigna
| Professional | $6.09 | $6.09 | $6.09 | |
HMSA
| Professional | $12.63 | $16.66 | $19.48 | |
Kaiser Permanente
| Professional | $7.77 | $9.32 | $11.66 | |
United
| Professional | $3.26 | $9.32 | $15.09 | |
University Health Alliance
| Professional | $11.40 | $14.55 | $20.09 |