| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.00 | $65.11 | $65.11 | |
Cigna
| Facility | $59.08 | $59.08 | $59.08 | |
Cigna
| Professional | $36.61 | $36.61 | $81.79 | |
HMSA
| Professional | $74.34 | $77.84 | $77.84 | |
Kaiser Permanente
| Professional | $51.93 | $74.34 | $104.09 | |
United
| Professional | $41.54 | $69.52 | $81.79 | |
University Health Alliance
| Professional | $53.23 | $61.95 | $70.77 |