| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.25 | $7.25 | $7.25 | |
Cigna
| Facility | $39.10 | $39.10 | $39.10 | |
Cigna
| Professional | $10.87 | $12.51 | $39.33 | |
HMSA
| Professional | $39.10 | $40.94 | $43.47 | |
Kaiser Permanente
| Professional | $18.03 | $29.89 | $46.49 | |
United
| Professional | $8.13 | $13.03 | $39.10 | |
University Health Alliance
| Professional | $14.92 | $27.47 | $33.21 |