| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.09 | $20.09 | $20.09 | |
Cigna
| Facility | $48.08 | $48.08 | $48.08 | |
Cigna
| Professional | $36.34 | $36.34 | $66.58 | |
HMSA
| Professional | $60.53 | $63.38 | $63.38 | |
Kaiser Permanente
| Professional | $36.32 | $60.53 | $84.74 | |
United
| Professional | $27.70 | $48.08 | $66.58 | |
University Health Alliance
| Professional | $41.32 | $50.43 | $57.61 |