| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.51 | $9.65 | $12.38 | |
Aetna
| Professional | $11.94 | $12.06 | $71.00 | |
Cigna
| Professional | $8.25 | $12.38 | $12.38 | |
HMSA
| Professional | $16.78 | $22.13 | $25.90 | |
Kaiser Permanente
| Professional | $10.32 | $12.38 | $14.45 | |
United
| Professional | $4.33 | $12.38 | $20.05 | |
University Health Alliance
| Professional | $11.56 | $18.75 | $25.96 |