| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.32 | $4.32 | $4.32 | |
Cigna
| Facility | $4.30 | $4.30 | $4.30 | |
Cigna
| Professional | $2.43 | $2.43 | $2.43 | |
Kaiser Permanente
| Professional | $2.67 | $2.91 | $3.40 | |
United
| Professional | $2.43 | $2.43 | $3.65 | |
University Health Alliance
| Professional | $2.14 | $2.65 | $3.02 |