| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.53 | $52.53 | $52.53 | |
Cigna
| Facility | $72.81 | $72.81 | $72.81 | |
Cigna
| Professional | $52.17 | $52.17 | $95.78 | |
HMSA
| Professional | $87.07 | $91.17 | $91.17 | |
Kaiser Permanente
| Professional | $60.95 | $87.07 | $121.90 | |
United
| Professional | $62.48 | $81.41 | $95.78 | |
University Health Alliance
| Professional | $73.83 | $76.36 | $83.66 |