| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.38 | $46.38 | $46.38 | |
Cigna
| Facility | $46.39 | $46.39 | $46.39 | |
Cigna
| Professional | $25.59 | $25.59 | $25.59 | |
HMSA
| Professional | $35.86 | $35.86 | $35.86 | |
Kaiser Permanente
| Professional | $28.15 | $30.71 | $35.83 | |
United
| Professional | $25.59 | $29.47 | $38.39 | |
University Health Alliance
| Professional | $24.04 | $29.72 | $32.40 |