| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $6.03 | $10.00 | $12.88 | |
Cigna
| Professional | $9.33 | $9.33 | $9.33 | |
HMSA
| Professional | $20.89 | $26.92 | $29.51 | |
Kaiser Permanente
| Professional | $13.80 | $16.60 | $20.89 | |
United
| Professional | $5.89 | $16.60 | $23.44 | |
University Health Alliance
| Professional | $18.20 | $22.39 | $30.90 |