| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.30 | $1.30 | $1.30 | |
Cigna
| Facility | $3.79 | $3.79 | $3.79 | |
Cigna
| Professional | $3.37 | $3.37 | $5.25 | |
HMSA
| Professional | $4.76 | $4.99 | $4.99 | |
Kaiser Permanente
| Professional | $3.34 | $4.76 | $6.68 | |
United
| Professional | $2.38 | $3.79 | $5.25 | |
University Health Alliance
| Professional | $3.84 | $3.98 | $4.54 |