| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.38 | $27.38 | $27.38 | |
Cigna
| Facility | $60.86 | $60.86 | $60.86 | |
Cigna
| Professional | $35.00 | $35.00 | $84.29 | |
HMSA
| Professional | $76.63 | $80.23 | $80.23 | |
Kaiser Permanente
| Professional | $53.64 | $76.63 | $107.28 | |
United
| Professional | $33.46 | $60.86 | $84.29 | |
University Health Alliance
| Professional | $33.51 | $61.71 | $72.93 |