| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.76 | $9.33 | $144.54 | |
Aetna
| Professional | $7.08 | $8.51 | $11.22 | |
Cigna
| Professional | $7.41 | $7.41 | $11.22 | |
HMSA
| Professional | $13.18 | $16.98 | $18.62 | |
Kaiser Permanente
| Professional | $9.33 | $11.22 | $14.13 | |
United
| Professional | $3.98 | $13.18 | $18.20 | |
University Health Alliance
| Professional | $4.57 | $14.79 | $23.99 |