| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.49 | $2.49 | $28.80 | |
Cigna
| Facility | $11.90 | $11.90 | $11.90 | |
Cigna
| Professional | $6.16 | $6.16 | $16.47 | |
HMSA
| Professional | $14.97 | $15.68 | $15.68 | |
Kaiser Permanente
| Professional | $8.98 | $14.97 | $20.96 | |
United
| Professional | $5.14 | $11.90 | $16.47 | |
University Health Alliance
| Professional | $10.21 | $12.47 | $14.25 |