| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.35 | $3.35 | $3.35 | |
Cigna
| Facility | $9.72 | $9.72 | $9.72 | |
Cigna
| Professional | $8.65 | $8.65 | $13.46 | |
HMSA
| Professional | $12.24 | $12.82 | $12.82 | |
Kaiser Permanente
| Professional | $8.57 | $12.24 | $17.14 | |
United
| Facility | $4.00 | $4.00 | $4.00 | |
United
| Professional | $7.45 | $9.72 | $13.46 | |
University Health Alliance
| Professional | $8.76 | $10.19 | $11.65 |