| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.27 | $10.23 | $14.71 | |
Cigna
| Facility | $22.02 | $22.02 | $22.02 | |
Cigna
| Professional | $14.57 | $14.57 | $25.72 | |
HMSA
| Professional | $0.62 | $0.65 | $0.65 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $7.65 | $16.45 | $38.77 |