| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.33 | $11.71 | $15.02 | |
Cigna
| Professional | $10.01 | $15.02 | $15.02 | |
HMSA
| Professional | $20.36 | $26.85 | $31.43 | |
Kaiser Permanente
| Professional | $12.52 | $15.02 | $18.78 | |
United
| Professional | $5.26 | $15.02 | $24.31 | |
University Health Alliance
| Professional | $14.02 | $22.76 | $31.52 |