| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.80 | $6.98 | $110.94 | |
Aetna
| Professional | $3.80 | $6.40 | $29.34 | |
Cigna
| Professional | $3.34 | $3.34 | $3.34 | |
HMSA
| Professional | $14.13 | $18.02 | $20.61 | |
Kaiser Permanente
| Professional | $5.82 | $6.98 | $8.15 | |
United
| Professional | $3.49 | $6.98 | $8.73 | |
University Health Alliance
| Professional | $6.26 | $7.38 | $8.48 |