| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.51 | $32.51 | $32.51 | |
Cigna
| Facility | $76.03 | $76.03 | $76.03 | |
Cigna
| Professional | $50.66 | $50.66 | $105.28 | |
HMSA
| Professional | $95.71 | $100.22 | $100.22 | |
Kaiser Permanente
| Professional | $57.43 | $95.71 | $133.99 | |
United
| Professional | $61.89 | $76.03 | $105.28 | |
University Health Alliance
| Professional | $41.85 | $59.79 | $91.10 |