| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.50 | $11.90 | $15.28 | |
Cigna
| Professional | $9.42 | $15.28 | $15.28 | |
HMSA
| Professional | $19.51 | $25.73 | $30.11 | |
Kaiser Permanente
| Professional | $12.73 | $15.28 | $19.10 | |
United
| Professional | $5.35 | $15.28 | $23.27 | |
University Health Alliance
| Professional | $14.26 | $21.62 | $30.17 |