| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.27 | $6.27 | $6.27 | |
Cigna
| Facility | $12.00 | $12.00 | $12.00 | |
Cigna
| Professional | $9.31 | $9.31 | $16.60 | |
HMSA
| Professional | $15.09 | $15.80 | $15.80 | |
Kaiser Permanente
| Professional | $10.56 | $15.09 | $21.13 | |
United
| Professional | $7.76 | $12.00 | $16.60 | |
University Health Alliance
| Professional | $10.31 | $12.58 | $14.37 |