| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.67 | $8.00 | $9.69 | |
Aetna
| Professional | $8.08 | $8.08 | $50.66 | |
Cigna
| Professional | $6.48 | $9.69 | $9.69 | |
HMSA
| Professional | $13.15 | $17.35 | $20.28 | |
Kaiser Permanente
| Professional | $8.08 | $9.69 | $12.12 | |
United
| Professional | $3.39 | $9.69 | $15.68 | |
University Health Alliance
| Professional | $9.05 | $14.68 | $20.89 |