| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.42 | $9.42 | $9.42 | |
Aetna
| Professional | $4.90 | $6.67 | $280.80 | |
Cigna
| Facility | $9.41 | $9.41 | $9.41 | |
Cigna
| Professional | $4.86 | $4.86 | $4.86 | |
HMSA
| Professional | $7.14 | $7.14 | $7.14 | |
Kaiser Permanente
| Professional | $5.34 | $5.83 | $6.80 | |
United
| Professional | $4.86 | $5.87 | $7.29 | |
University Health Alliance
| Professional | $4.88 | $5.86 | $6.31 |