| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.11 | $25.11 | $25.11 | |
Cigna
| Facility | $70.33 | $70.33 | $70.33 | |
Cigna
| Professional | $36.72 | $36.72 | $97.41 | |
HMSA
| Professional | $88.55 | $92.72 | $92.72 | |
Kaiser Permanente
| Professional | $53.13 | $88.55 | $123.97 | |
United
| Professional | $51.49 | $70.33 | $97.41 | |
University Health Alliance
| Professional | $38.72 | $55.31 | $84.28 |