| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.72 | $12.72 | $12.72 | |
Cigna
| Facility | $29.67 | $29.67 | $29.67 | |
Cigna
| Professional | $21.38 | $21.38 | $41.10 | |
HMSA
| Professional | $37.36 | $39.11 | $39.11 | |
Kaiser Permanente
| Professional | $22.42 | $37.36 | $52.30 | |
United
| Professional | $22.69 | $29.67 | $41.10 | |
University Health Alliance
| Professional | $30.09 | $31.12 | $35.56 |