| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.71 | $6.71 | $6.71 | |
Cigna
| Facility | $11.54 | $11.54 | $11.54 | |
Cigna
| Professional | $9.49 | $9.49 | $15.98 | |
HMSA
| Professional | $14.53 | $15.21 | $15.21 | |
Kaiser Permanente
| Professional | $10.17 | $14.53 | $20.34 | |
United
| Professional | $8.26 | $13.59 | $15.98 | |
University Health Alliance
| Professional | $11.70 | $12.10 | $13.83 |