| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.24 | $6.24 | $6.24 | |
Cigna
| Facility | $16.14 | $16.14 | $16.14 | |
Cigna
| Professional | $12.18 | $12.18 | $22.35 | |
HMSA
| Professional | $20.32 | $21.28 | $21.28 | |
Kaiser Permanente
| Professional | $12.19 | $20.32 | $28.45 | |
United
| Professional | $14.00 | $16.14 | $25.35 | |
University Health Alliance
| Professional | $8.89 | $16.37 | $19.34 |