| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $25.12 | $38.02 | |
Cigna
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $26.92 | $30.90 | $48.98 | |
HMSA
| Professional | $45.71 | $47.86 | $61.66 | |
Kaiser Permanente
| Professional | $3.16 | $32.36 | $64.57 | |
United
| Facility | $2.24 | $16.98 | $28.84 | |
United
| Professional | $19.50 | $35.48 | $48.98 |