| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.39 | $16.39 | $16.39 | |
Cigna
| Facility | $32.53 | $32.53 | $32.53 | |
Cigna
| Professional | $27.42 | $27.42 | $45.05 | |
HMSA
| Professional | $40.95 | $42.88 | $42.88 | |
Kaiser Permanente
| Professional | $24.57 | $40.95 | $57.33 | |
United
| Professional | $17.59 | $32.53 | $45.05 | |
University Health Alliance
| Professional | $27.95 | $34.11 | $38.97 |