| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.62 | $6.72 | $126.00 | |
Aetna
| Professional | $6.36 | $6.42 | $41.00 | |
Cigna
| Professional | $4.32 | $6.72 | $6.72 | |
HMSA
| Professional | $8.96 | $11.81 | $13.80 | |
Kaiser Permanente
| Professional | $5.60 | $6.72 | $8.40 | |
United
| Professional | $2.35 | $6.72 | $10.69 | |
University Health Alliance
| Professional | $6.27 | $10.01 | $13.86 |