| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.37 | $7.76 | $69.18 | |
Aetna
| Professional | $4.79 | $5.62 | $7.76 | |
Cigna
| Professional | $5.13 | $5.13 | $7.76 | |
HMSA
| Professional | $11.22 | $14.45 | $15.85 | |
Kaiser Permanente
| Professional | $6.46 | $7.76 | $11.22 | |
United
| Professional | $2.69 | $9.12 | $12.59 | |
University Health Alliance
| Professional | $7.24 | $11.75 | $16.22 |