| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.94 | $9.94 | $9.94 | |
Cigna
| Facility | $27.44 | $27.44 | $27.44 | |
Cigna
| Professional | $16.29 | $37.99 | $37.99 | |
HMSA
| Professional | $34.54 | $36.17 | $36.17 | |
Kaiser Permanente
| Professional | $20.72 | $34.54 | $48.36 | |
United
| Professional | $17.82 | $27.44 | $43.08 | |
University Health Alliance
| Professional | $15.10 | $21.57 | $32.88 |