| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.30 | $16.30 | $16.30 | |
Cigna
| Facility | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $27.38 | $27.38 | $52.66 | |
HMSA
| Professional | $47.87 | $50.13 | $50.13 | |
Kaiser Permanente
| Professional | $28.72 | $47.87 | $67.02 | |
United
| Professional | $33.36 | $38.02 | $52.66 | |
University Health Alliance
| Professional | $38.56 | $39.89 | $45.57 |