| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.53 | $23.53 | $23.53 | |
Cigna
| Facility | $50.08 | $50.08 | $50.08 | |
Cigna
| Professional | $34.54 | $34.54 | $69.34 | |
HMSA
| Professional | $63.04 | $66.01 | $66.01 | |
Kaiser Permanente
| Professional | $37.82 | $63.04 | $88.26 | |
United
| Professional | $43.92 | $50.08 | $69.34 | |
University Health Alliance
| Professional | $27.57 | $50.78 | $60.00 |