| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.77 | $11.75 | $14.45 | |
Aetna
| Professional | $6.03 | $10.00 | $10.96 | |
Cigna
| Professional | $9.33 | $9.33 | $14.45 | |
HMSA
| Professional | $20.89 | $29.51 | $29.51 | |
Kaiser Permanente
| Professional | $12.02 | $14.45 | $17.78 | |
United
| Professional | $5.01 | $16.60 | $23.44 | |
University Health Alliance
| Professional | $13.49 | $21.38 | $30.20 |