| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.78 | $14.78 | $14.78 | |
Cigna
| Facility | $14.79 | $14.79 | $14.79 | |
Cigna
| Professional | $8.66 | $8.66 | $9.77 | |
HMSA
| Professional | $11.90 | $11.90 | $11.90 | |
Kaiser Permanente
| Professional | $8.66 | $10.39 | $12.12 | |
United
| Professional | $8.66 | $9.77 | $12.99 | |
University Health Alliance
| Professional | $2.59 | $6.89 | $9.86 |