| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $18.20 | $30.20 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $21.88 | $25.70 | $41.69 | |
HMSA
| Professional | $38.02 | $39.81 | $48.98 | |
Kaiser Permanente
| Professional | $3.16 | $28.84 | $53.70 | |
United
| Facility | $1.82 | $13.49 | $24.55 | |
United
| Professional | $14.45 | $33.88 | $41.69 |