| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.45 | $5.34 | $249.69 | |
Aetna
| Professional | $5.39 | $5.93 | $33.79 | |
Cigna
| Professional | $4.32 | $6.47 | $6.47 | |
HMSA
| Professional | $8.72 | $11.50 | $13.48 | |
Kaiser Permanente
| Professional | $5.39 | $6.47 | $8.09 | |
United
| Professional | $2.25 | $6.47 | $10.45 | |
University Health Alliance
| Professional | $6.04 | $9.75 | $13.50 |