| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.73 | $6.73 | $6.73 | |
Cigna
| Facility | $10.95 | $10.95 | $10.95 | |
Cigna
| Professional | $9.75 | $9.75 | $15.17 | |
HMSA
| Professional | $13.79 | $14.44 | $14.44 | |
Kaiser Permanente
| Professional | $9.65 | $13.79 | $19.30 | |
United
| Professional | $8.39 | $10.95 | $15.17 | |
University Health Alliance
| Professional | $11.11 | $11.49 | $13.13 |