| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $4.90 | $7.08 | |
Cigna
| Facility | $5.89 | $5.89 | $8.51 | |
Cigna
| Professional | $5.89 | $9.55 | $13.49 | |
HMSA
| Professional | $10.96 | $10.96 | $11.48 | |
Kaiser Permanente
| Professional | $7.59 | $10.96 | $12.59 | |
United
| Facility | $3.24 | $3.80 | $3.80 | |
United
| Professional | $4.47 | $7.59 | $11.75 |