| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.67 | $21.67 | $21.67 | |
Cigna
| Facility | $33.64 | $33.64 | $33.64 | |
Cigna
| Professional | $31.36 | $31.36 | $46.57 | |
HMSA
| Professional | $42.34 | $44.34 | $44.34 | |
Kaiser Permanente
| Professional | $25.40 | $42.34 | $59.28 | |
United
| Professional | $25.40 | $33.64 | $46.57 | |
University Health Alliance
| Professional | $28.90 | $35.27 | $40.29 |