| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.31 | $54.31 | $54.31 | |
Cigna
| Facility | $36.67 | $36.67 | $36.67 | |
Cigna
| Professional | $30.59 | $30.59 | $50.78 | |
HMSA
| Professional | $46.16 | $48.34 | $48.34 | |
Kaiser Permanente
| Professional | $32.31 | $46.16 | $64.62 | |
United
| Professional | $30.20 | $43.16 | $50.78 | |
University Health Alliance
| Professional | $37.18 | $38.46 | $43.94 |