| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.80 | $16.80 | $16.80 | |
Cigna
| Facility | $29.52 | $29.52 | $29.52 | |
Cigna
| Professional | $24.31 | $24.31 | $40.89 | |
HMSA
| Professional | $37.17 | $38.92 | $38.92 | |
Kaiser Permanente
| Professional | $26.02 | $37.17 | $52.04 | |
United
| Professional | $20.93 | $29.52 | $40.89 | |
University Health Alliance
| Professional | $29.94 | $30.97 | $35.38 |