| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.11 | $10.42 | $426.69 | |
Aetna
| Professional | $4.59 | $6.75 | $10.14 | |
Cigna
| Professional | $6.87 | $6.87 | $6.87 | |
HMSA
| Professional | $14.14 | $18.64 | $21.83 | |
Kaiser Permanente
| Professional | $8.68 | $10.42 | $13.02 | |
United
| Professional | $3.65 | $10.42 | $16.86 | |
University Health Alliance
| Professional | $12.74 | $15.77 | $21.83 |