| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.55 | $60.20 | $105.73 | |
Aetna
| Professional | $6.93 | $7.20 | $9.69 | |
Cigna
| Professional | $6.48 | $6.48 | $6.48 | |
HMSA
| Professional | $13.15 | $17.35 | $20.28 | |
Kaiser Permanente
| Professional | $8.08 | $9.69 | $11.31 | |
United
| Professional | $3.39 | $9.69 | $15.68 | |
University Health Alliance
| Professional | $11.85 | $13.95 | $15.62 |