| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.52 | $5.12 | $90.00 | |
Aetna
| Professional | $2.25 | $4.70 | $5.35 | |
Cigna
| Professional | $3.34 | $5.12 | $5.12 | |
HMSA
| Professional | $6.93 | $9.14 | $10.70 | |
Kaiser Permanente
| Professional | $4.26 | $5.12 | $6.41 | |
United
| Professional | $1.79 | $5.12 | $8.28 | |
University Health Alliance
| Professional | $4.78 | $7.75 | $10.73 |