| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.49 | $11.49 | $11.49 | |
Cigna
| Facility | $29.03 | $29.03 | $29.03 | |
Cigna
| Professional | $18.44 | $18.44 | $40.18 | |
HMSA
| Professional | $36.53 | $38.25 | $38.25 | |
Kaiser Permanente
| Professional | $21.92 | $36.53 | $51.14 | |
United
| Professional | $20.28 | $29.03 | $40.18 | |
University Health Alliance
| Professional | $15.98 | $22.83 | $34.77 |