| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.64 | $16.64 | $20.17 | |
Aetna
| Professional | $10.74 | $10.84 | $36.76 | |
Cigna
| Professional | $9.42 | $9.42 | $9.42 | |
HMSA
| Professional | $19.51 | $25.73 | $30.11 | |
Kaiser Permanente
| Professional | $16.80 | $20.17 | $23.53 | |
United
| Professional | $7.06 | $20.17 | $25.22 | |
University Health Alliance
| Professional | $18.23 | $23.21 | $31.01 |