| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $6.31 | $10.00 | |
Cigna
| Facility | $7.59 | $7.59 | $10.00 | |
Cigna
| Professional | $7.59 | $11.22 | $15.85 | |
HMSA
| Professional | $12.88 | $12.88 | $13.49 | |
Kaiser Permanente
| Professional | $9.12 | $12.88 | $14.79 | |
United
| Facility | $4.17 | $4.90 | $4.90 | |
United
| Professional | $5.75 | $9.12 | $13.80 |