| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.29 | $4.33 | $5.90 | |
Cigna
| Facility | $12.15 | $12.15 | $12.15 | |
Cigna
| Professional | $4.29 | $4.29 | $6.96 | |
HMSA
| Professional | $8.03 | $8.03 | $8.03 | |
Kaiser Permanente
| Professional | $4.29 | $5.15 | $6.43 | |
United
| Professional | $4.29 | $4.29 | $6.62 | |
University Health Alliance
| Professional | $1.98 | $6.67 | $7.78 |