PRICING/INSURANCE INFORMATION FOR THERAPY Contact Romana Telehealth sessions only Texas Residents only Insurance and Self-Pay Accepted insurances through helloalma.com: Cigna, Aetna, Optum (includes Unitedhealthcare). Alma’s cost estimator tool to determine estimated cost per session with insurance: View View Alma Profile Self-pay rate: $120/per session Limited sliding scale rates are offered for clients who qualify based on annual household income and/or personal circumstances.