| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.79 | $14.49 | $18.60 | |
Aetna
| Professional | $17.05 | $18.11 | $103.00 | |
Cigna
| Professional | $12.37 | $18.60 | $18.60 | |
HMSA
| Professional | $33.26 | $63.75 | $78.53 | |
Kaiser Permanente
| Professional | $15.50 | $18.60 | $23.25 | |
United
| Professional | $9.30 | $18.60 | $30.08 | |
University Health Alliance
| Professional | $13.18 | $20.93 | $34.88 |