| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.83 | $62.40 | $145.50 | |
Aetna
| Professional | $8.02 | $8.42 | $11.33 | |
Cigna
| Professional | $7.46 | $11.33 | $11.33 | |
HMSA
| Professional | $15.36 | $20.26 | $23.64 | |
Kaiser Permanente
| Professional | $9.44 | $11.33 | $14.16 | |
United
| Professional | $3.96 | $11.33 | $18.32 | |
University Health Alliance
| Professional | $10.57 | $17.13 | $23.72 |