| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.48 | $25.48 | $25.48 | |
Cigna
| Facility | $44.75 | $44.75 | $44.75 | |
Cigna
| Professional | $34.45 | $36.86 | $61.94 | |
HMSA
| Professional | $56.31 | $58.96 | $58.96 | |
Kaiser Permanente
| Professional | $39.42 | $56.31 | $78.83 | |
United
| Professional | $31.73 | $44.75 | $61.94 | |
University Health Alliance
| Professional | $45.37 | $46.92 | $53.60 |