| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $16.03 | $20.57 | |
Aetna
| Professional | $16.55 | $16.55 | $16.55 | |
Cigna
| Professional | $10.99 | $20.57 | $30.87 | |
HMSA
| Professional | $22.34 | $26.28 | $31.38 | |
Kaiser Permanente
| Professional | $17.14 | $20.57 | $25.71 | |
United
| Professional | $7.20 | $20.57 | $25.71 | |
University Health Alliance
| Professional | $14.57 | $24.94 | $38.57 |