| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.09 | $104.58 | $229.50 | |
Aetna
| Professional | $4.58 | $7.71 | $15.08 | |
Cigna
| Professional | $6.87 | $10.38 | $10.38 | |
HMSA
| Professional | $14.04 | $18.52 | $21.74 | |
Kaiser Permanente
| Professional | $8.65 | $10.38 | $12.98 | |
United
| Professional | $3.63 | $10.38 | $16.79 | |
University Health Alliance
| Professional | $9.69 | $15.70 | $21.74 |