| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.25 | $10.25 | $10.25 | |
Cigna
| Facility | $18.02 | $18.02 | $18.02 | |
Cigna
| Professional | $13.91 | $14.83 | $24.96 | |
HMSA
| Professional | $22.69 | $23.76 | $23.76 | |
Kaiser Permanente
| Professional | $15.88 | $22.69 | $31.77 | |
United
| Professional | $12.77 | $18.02 | $24.96 | |
University Health Alliance
| Professional | $18.28 | $18.91 | $21.60 |