| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.51 | $24.38 | $31.28 | |
Cigna
| Professional | $20.61 | $31.28 | $31.28 | |
HMSA
| Professional | $42.41 | $55.94 | $65.47 | |
Kaiser Permanente
| Professional | $26.07 | $31.28 | $39.11 | |
United
| Professional | $10.95 | $31.28 | $50.60 | |
University Health Alliance
| Professional | $29.20 | $47.35 | $65.56 |