| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.94 | $17.94 | $18.67 | |
Cigna
| Facility | $46.98 | $46.98 | $46.98 | |
Cigna
| Professional | $22.18 | $22.18 | $65.06 | |
HMSA
| Professional | $59.15 | $61.94 | $61.94 | |
Kaiser Permanente
| Professional | $35.49 | $59.15 | $82.81 | |
United
| Professional | $22.82 | $46.98 | $65.06 | |
University Health Alliance
| Professional | $25.86 | $47.64 | $56.30 |