| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.57 | $2.57 | $2.57 | |
Cigna
| Facility | $4.17 | $4.17 | $4.17 | |
Cigna
| Professional | $3.51 | $3.71 | $5.78 | |
HMSA
| Professional | $5.25 | $5.50 | $5.50 | |
Kaiser Permanente
| Professional | $3.68 | $5.25 | $7.35 | |
United
| Professional | $3.01 | $4.17 | $5.78 | |
University Health Alliance
| Professional | $4.23 | $4.38 | $5.00 |