| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.22 | $27.60 | $28.80 | |
Cigna
| Facility | $70.56 | $70.56 | $70.56 | |
Cigna
| Professional | $59.47 | $71.75 | $97.74 | |
HMSA
| Professional | $88.85 | $93.04 | $93.04 | |
Kaiser Permanente
| Professional | $59.36 | $88.85 | $124.39 | |
United
| Professional | $61.04 | $70.56 | $97.74 | |
University Health Alliance
| Professional | $41.55 | $71.56 | $84.57 |