| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.86 | $96.49 | $107.92 | |
Aetna
| Professional | $12.53 | $13.04 | $17.19 | |
Cigna
| Professional | $11.39 | $11.39 | $11.39 | |
HMSA
| Professional | $19.51 | $25.73 | $30.11 | |
Kaiser Permanente
| Professional | $14.38 | $17.26 | $21.57 | |
United
| Professional | $6.04 | $17.26 | $23.30 | |
University Health Alliance
| Professional | $18.23 | $22.46 | $31.01 |