| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.12 | $20.53 | $26.35 | |
Aetna
| Professional | $25.40 | $25.40 | $30.15 | |
Cigna
| Professional | $17.47 | $26.35 | $26.35 | |
HMSA
| Professional | $35.72 | $47.11 | $55.07 | |
Kaiser Permanente
| Professional | $21.96 | $26.35 | $32.94 | |
United
| Professional | $9.22 | $26.35 | $42.64 | |
University Health Alliance
| Professional | $24.60 | $39.88 | $55.22 |