| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.40 | $13.68 | $70.43 | |
Aetna
| Professional | $10.74 | $10.84 | $69.00 | |
Cigna
| Professional | $9.42 | $16.57 | $16.57 | |
HMSA
| Professional | $19.51 | $25.73 | $30.11 | |
Kaiser Permanente
| Professional | $13.82 | $16.57 | $20.73 | |
United
| Professional | $5.80 | $16.57 | $23.27 | |
University Health Alliance
| Professional | $15.48 | $21.79 | $31.01 |