| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.21 | $7.21 | $7.21 | |
Cigna
| Facility | $14.71 | $14.71 | $14.71 | |
Cigna
| Professional | $12.19 | $12.19 | $20.36 | |
HMSA
| Professional | $18.51 | $19.38 | $19.38 | |
Kaiser Permanente
| Professional | $11.11 | $18.51 | $25.91 | |
United
| Professional | $10.42 | $14.71 | $20.36 | |
University Health Alliance
| Professional | $12.65 | $15.42 | $17.62 |