| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.26 | $11.75 | $11.75 | |
Cigna
| Facility | $28.79 | $28.79 | $28.79 | |
Cigna
| Professional | $24.26 | $29.26 | $39.86 | |
HMSA
| Professional | $36.24 | $37.95 | $37.95 | |
Kaiser Permanente
| Professional | $25.26 | $36.24 | $50.74 | |
United
| Professional | $24.90 | $28.79 | $39.86 | |
University Health Alliance
| Professional | $24.22 | $30.19 | $34.49 |