| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.05 | $28.84 | |
Cigna
| Facility | $28.18 | $28.18 | $28.18 | |
Cigna
| Professional | $20.89 | $23.99 | $38.02 | |
HMSA
| Professional | $35.48 | $37.15 | $47.86 | |
Kaiser Permanente
| Professional | $2.51 | $25.12 | $50.12 | |
United
| Facility | $1.78 | $13.49 | $22.91 | |
United
| Professional | $14.79 | $28.18 | $38.02 |