| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $51.29 | $81.28 | |
Cigna
| Facility | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $44.67 | $61.66 | $100.00 | |
HMSA
| Professional | $91.20 | $95.50 | $117.49 | |
Kaiser Permanente
| Professional | $6.46 | $64.57 | $128.82 | |
United
| Facility | $4.79 | $36.31 | $61.66 | |
United
| Professional | $40.74 | $72.44 | $100.00 |