| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.12 | $66.12 | $66.12 | |
Aetna
| Professional | $3.31 | $4.22 | $5.69 | |
Cigna
| Professional | $3.00 | $5.14 | $7.29 | |
HMSA
| Professional | $4.67 | $5.19 | $6.27 | |
Kaiser Permanente
| Professional | $3.87 | $5.46 | $6.05 | |
United
| Professional | $3.29 | $4.42 | $6.30 | |
University Health Alliance
| Professional | $3.65 | $3.98 | $4.98 |