| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.56 | $13.56 | $13.56 | |
Cigna
| Facility | $13.55 | $13.55 | $13.55 | |
Cigna
| Professional | $2.27 | $2.27 | $2.73 | |
HMSA
| Professional | $2.76 | $2.76 | $2.76 | |
Kaiser Permanente
| Professional | $2.73 | $3.27 | $3.82 | |
United
| Professional | $2.27 | $2.73 | $4.09 | |
University Health Alliance
| Professional | $1.97 | $6.47 | $14.50 |