| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.32 | $10.00 | $12.30 | |
Aetna
| Professional | $6.03 | $8.91 | $8.91 | |
Cigna
| Professional | $8.13 | $8.13 | $12.30 | |
HMSA
| Professional | $17.38 | $22.39 | $25.12 | |
Kaiser Permanente
| Professional | $10.23 | $12.30 | $15.14 | |
United
| Professional | $4.27 | $14.13 | $19.95 | |
University Health Alliance
| Professional | $11.48 | $18.20 | $25.70 |