| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.70 | $4.70 | $4.70 | |
Cigna
| Facility | $4.70 | $4.70 | $4.70 | |
Cigna
| Professional | $2.65 | $2.65 | $2.65 | |
Kaiser Permanente
| Professional | $2.92 | $3.19 | $3.72 | |
United
| Professional | $2.66 | $3.06 | $3.99 | |
University Health Alliance
| Professional | $1.87 | $2.59 | $3.29 |