| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.97 | $16.80 | $100.86 | |
Cigna
| Facility | $42.96 | $42.96 | $42.96 | |
Cigna
| Professional | $36.21 | $43.67 | $59.49 | |
HMSA
| Professional | $54.08 | $56.63 | $56.63 | |
Kaiser Permanente
| Professional | $37.69 | $54.08 | $75.70 | |
United
| Professional | $37.15 | $42.96 | $59.49 | |
University Health Alliance
| Professional | $43.37 | $45.05 | $51.47 |