| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.64 | $31.64 | $31.64 | |
Cigna
| Facility | $43.96 | $43.96 | $43.96 | |
Cigna
| Professional | $31.65 | $31.65 | $60.87 | |
HMSA
| Professional | $55.34 | $57.95 | $57.95 | |
Kaiser Permanente
| Professional | $33.20 | $55.34 | $77.48 | |
United
| Facility | $25.04 | $25.04 | $25.31 | |
United
| Professional | $33.59 | $43.96 | $60.87 | |
University Health Alliance
| Professional | $36.97 | $46.10 | $52.67 |