| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $30.90 | $44.67 | |
Cigna
| Facility | $33.11 | $33.11 | $33.11 | |
Cigna
| Professional | $28.18 | $31.62 | $45.71 | |
HMSA
| Professional | $41.69 | $43.65 | $56.23 | |
Kaiser Permanente
| Professional | $2.95 | $38.02 | $58.88 | |
United
| Facility | $2.75 | $19.95 | $34.67 | |
United
| Professional | $21.88 | $38.02 | $51.29 |