| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.26 | $4.84 | $6.22 | |
Aetna
| Professional | $4.62 | $4.65 | $95.57 | |
Cigna
| Professional | $4.12 | $6.22 | $6.22 | |
HMSA
| Professional | $8.43 | $11.13 | $13.02 | |
Kaiser Permanente
| Professional | $5.18 | $6.22 | $7.77 | |
United
| Professional | $2.18 | $6.22 | $10.05 | |
University Health Alliance
| Professional | $5.80 | $9.40 | $13.01 |