| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.28 | $37.71 | $146.96 | |
Cigna
| Facility | $97.84 | $97.84 | $97.84 | |
Cigna
| Professional | $42.57 | $56.84 | $73.29 | |
HMSA
| Professional | $32.89 | $39.04 | $51.83 | |
Kaiser Permanente
| Professional | $28.66 | $50.02 | $59.11 | |
United
| Professional | $40.28 | $56.84 | $114.56 | |
University Health Alliance
| Professional | $22.12 | $39.60 | $129.52 |