| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.47 | $10.47 | $10.47 | |
Cigna
| Facility | $27.79 | $27.79 | $27.79 | |
Cigna
| Professional | $17.82 | $17.82 | $38.50 | |
HMSA
| Professional | $35.00 | $36.65 | $36.65 | |
Kaiser Permanente
| Professional | $21.00 | $35.00 | $49.00 | |
United
| Professional | $15.33 | $27.79 | $38.50 | |
University Health Alliance
| Professional | $23.89 | $29.15 | $33.31 |