| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.24 | $4.24 | $4.24 | |
Cigna
| Facility | $6.90 | $6.90 | $6.90 | |
Cigna
| Professional | $6.14 | $6.14 | $9.53 | |
HMSA
| Professional | $8.67 | $9.08 | $9.08 | |
Kaiser Permanente
| Professional | $6.07 | $8.67 | $12.14 | |
United
| Professional | $5.29 | $6.90 | $9.53 | |
University Health Alliance
| Professional | $6.22 | $7.23 | $8.26 |