| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.74 | $7.74 | $7.74 | |
Cigna
| Facility | $12.59 | $12.59 | $12.59 | |
Cigna
| Professional | $9.23 | $11.20 | $17.44 | |
HMSA
| Professional | $15.85 | $16.60 | $16.60 | |
Kaiser Permanente
| Professional | $10.81 | $15.85 | $22.19 | |
United
| Professional | $9.63 | $12.59 | $17.44 | |
University Health Alliance
| Professional | $12.77 | $13.21 | $15.09 |