| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.23 | $19.23 | $19.23 | |
Cigna
| Facility | $33.82 | $33.82 | $33.82 | |
Cigna
| Professional | $26.07 | $27.84 | $46.83 | |
HMSA
| Professional | $42.57 | $44.58 | $44.58 | |
Kaiser Permanente
| Professional | $29.80 | $42.57 | $59.60 | |
United
| Professional | $22.55 | $33.82 | $46.83 | |
University Health Alliance
| Professional | $34.29 | $35.47 | $40.52 |