| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.93 | $12.39 | $15.90 | |
Aetna
| Professional | $10.74 | $18.19 | $83.08 | |
Cigna
| Professional | $9.42 | $15.90 | $15.90 | |
HMSA
| Professional | $19.51 | $25.73 | $30.11 | |
Kaiser Permanente
| Professional | $13.25 | $15.90 | $19.88 | |
United
| Professional | $5.57 | $15.90 | $23.27 | |
University Health Alliance
| Professional | $14.84 | $21.62 | $30.17 |