| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.52 | $18.44 | $18.44 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $35.60 | $43.67 | $59.49 | |
HMSA
| Professional | $54.08 | $56.63 | $56.63 | |
Kaiser Permanente
| Professional | $37.86 | $54.08 | $75.70 | |
United
| Professional | $28.52 | $53.54 | $59.49 | |
University Health Alliance
| Professional | $44.56 | $45.05 | $51.47 |