| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.94 | $2.94 | $2.94 | |
Cigna
| Facility | $9.36 | $9.36 | $9.36 | |
Cigna
| Professional | $5.18 | $5.18 | $12.98 | |
HMSA
| Professional | $11.80 | $12.36 | $12.36 | |
Kaiser Permanente
| Professional | $7.08 | $11.80 | $16.52 | |
United
| Professional | $6.12 | $9.36 | $12.98 | |
University Health Alliance
| Professional | $5.16 | $7.37 | $11.23 |