| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.17 | $6.17 | $6.17 | |
Cigna
| Facility | $10.03 | $10.03 | $10.03 | |
Cigna
| Professional | $8.93 | $8.93 | $13.89 | |
HMSA
| Professional | $12.63 | $13.23 | $13.23 | |
Kaiser Permanente
| Professional | $8.84 | $12.63 | $17.68 | |
United
| Professional | $6.30 | $10.03 | $13.89 | |
University Health Alliance
| Professional | $6.33 | $10.18 | $12.02 |