| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.58 | $5.58 | $5.58 | |
Cigna
| Facility | $9.08 | $9.08 | $9.08 | |
Cigna
| Professional | $8.07 | $8.07 | $12.56 | |
HMSA
| Professional | $11.42 | $11.96 | $11.96 | |
Kaiser Permanente
| Professional | $7.99 | $11.42 | $15.99 | |
United
| Professional | $8.07 | $9.08 | $12.56 | |
University Health Alliance
| Professional | $5.73 | $9.19 | $10.87 |