| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.92 | $16.91 | $21.71 | |
Aetna
| Professional | $14.97 | $15.11 | $24.84 | |
Cigna
| Professional | $10.21 | $10.21 | $10.21 | |
HMSA
| Professional | $21.06 | $27.79 | $32.49 | |
Kaiser Permanente
| Professional | $18.09 | $21.71 | $27.14 | |
United
| Professional | $10.85 | $21.71 | $27.14 | |
University Health Alliance
| Professional | $18.98 | $22.36 | $25.73 |