| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.41 | $7.26 | $9.32 | |
Cigna
| Professional | $9.32 | $9.32 | $9.32 | |
HMSA
| Professional | $13.40 | $14.74 | $19.48 | |
Kaiser Permanente
| Professional | $7.77 | $9.32 | $11.66 | |
United
| Professional | $3.26 | $9.32 | $15.09 | |
University Health Alliance
| Professional | $5.44 | $6.60 | $7.77 |