| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.05 | $13.66 | $17.53 | |
Aetna
| Professional | $12.66 | $14.61 | $20.05 | |
Cigna
| Professional | $8.64 | $17.53 | $17.53 | |
HMSA
| Professional | $17.80 | $23.49 | $27.47 | |
Kaiser Permanente
| Professional | $14.61 | $17.53 | $21.92 | |
United
| Professional | $6.14 | $17.53 | $21.92 | |
University Health Alliance
| Professional | $16.05 | $20.14 | $28.29 |