| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.15 | $37.84 | $77.94 | |
Cigna
| Professional | $0.06 | $0.06 | $0.06 | |
HMSA
| Professional | $0.07 | $0.07 | $0.07 | |
Kaiser Permanente
| Professional | $0.06 | $0.07 | $0.08 | |
United
| Professional | $0.06 | $0.06 | $0.09 | |
University Health Alliance
| Professional | $0.05 | $0.12 | $0.22 |