| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.75 | $12.18 | $15.64 | |
Aetna
| Professional | $15.07 | $15.07 | $17.89 | |
Cigna
| Professional | $10.40 | $15.64 | $15.64 | |
HMSA
| Professional | $21.20 | $27.97 | $32.69 | |
Kaiser Permanente
| Professional | $13.03 | $15.64 | $19.55 | |
United
| Professional | $5.47 | $15.64 | $25.29 | |
University Health Alliance
| Professional | $14.59 | $23.66 | $32.76 |