| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.52 | $12.40 | $205.49 | |
Aetna
| Professional | $7.64 | $9.19 | $12.40 | |
Cigna
| Professional | $8.25 | $12.40 | $12.40 | |
HMSA
| Professional | $16.78 | $22.13 | $25.90 | |
Kaiser Permanente
| Professional | $10.33 | $12.40 | $15.50 | |
United
| Professional | $4.34 | $12.40 | $20.05 | |
University Health Alliance
| Professional | $11.57 | $18.76 | $25.97 |