| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.14 | $9.14 | $9.14 | |
Cigna
| Facility | $9.14 | $9.14 | $9.14 | |
Cigna
| Professional | $5.46 | $5.46 | $5.46 | |
HMSA
| Professional | $7.43 | $7.43 | $7.43 | |
Kaiser Permanente
| Professional | $6.00 | $6.55 | $7.64 | |
United
| Professional | $5.46 | $6.11 | $8.19 | |
University Health Alliance
| Professional | $3.49 | $5.34 | $6.57 |