| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.00 | $32.89 | $34.22 | |
Cigna
| Facility | $47.55 | $47.55 | $47.55 | |
Cigna
| Professional | $34.22 | $34.22 | $65.81 | |
HMSA
| Professional | $59.84 | $62.66 | $62.66 | |
Kaiser Permanente
| Professional | $35.90 | $59.84 | $83.78 | |
United
| Professional | $36.31 | $47.55 | $65.81 | |
University Health Alliance
| Professional | $27.99 | $48.21 | $56.96 |