| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.39 | $50.39 | $50.39 | |
Cigna
| Facility | $72.81 | $72.81 | $72.81 | |
Cigna
| Professional | $58.60 | $58.60 | $100.82 | |
HMSA
| Professional | $91.65 | $95.97 | $95.97 | |
Kaiser Permanente
| Professional | $54.99 | $91.65 | $128.31 | |
United
| Professional | $63.88 | $72.81 | $100.82 | |
University Health Alliance
| Professional | $61.26 | $76.36 | $87.23 |