| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.16 | $11.51 | $14.77 | |
Aetna
| Professional | $13.54 | $13.94 | $74.31 | |
Cigna
| Professional | $9.61 | $14.77 | $14.77 | |
HMSA
| Professional | $25.85 | $30.00 | $31.66 | |
Kaiser Permanente
| Professional | $12.31 | $14.77 | $18.47 | |
United
| Professional | $7.39 | $14.77 | $23.38 | |
University Health Alliance
| Professional | $10.46 | $18.10 | $29.47 |