| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.88 | $11.86 | $197.88 | |
Aetna
| Professional | $10.79 | $11.98 | $14.38 | |
Cigna
| Professional | $9.42 | $14.38 | $14.38 | |
HMSA
| Professional | $19.51 | $25.73 | $30.11 | |
Kaiser Permanente
| Professional | $11.98 | $14.38 | $16.98 | |
United
| Professional | $5.03 | $14.38 | $23.27 | |
University Health Alliance
| Professional | $13.42 | $21.79 | $30.17 |