| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.54 | $18.75 | $24.06 | |
Aetna
| Professional | $23.19 | $23.42 | $27.53 | |
Cigna
| Professional | $15.90 | $24.06 | $24.06 | |
HMSA
| Professional | $30.80 | $36.22 | $50.32 | |
Kaiser Permanente
| Professional | $20.05 | $24.06 | $30.08 | |
United
| Professional | $24.06 | $24.06 | $38.93 | |
University Health Alliance
| Professional | $22.46 | $36.43 | $50.44 |