| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $22.39 | $36.31 | |
Cigna
| Facility | $28.18 | $28.18 | $34.67 | |
Cigna
| Professional | $28.18 | $39.81 | $56.23 | |
HMSA
| Professional | $45.71 | $45.71 | $47.86 | |
Kaiser Permanente
| Professional | $27.54 | $45.71 | $52.48 | |
United
| Facility | $22.39 | $30.90 | $33.88 | |
United
| Professional | $21.38 | $31.62 | $50.12 |