| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $12.88 | $20.89 | |
Cigna
| Facility | $19.50 | $19.50 | $19.50 | |
Cigna
| Professional | $14.45 | $16.60 | $26.92 | |
HMSA
| Professional | $24.55 | $25.70 | $33.11 | |
Kaiser Permanente
| Professional | $1.74 | $17.38 | $34.67 | |
United
| Facility | $1.26 | $9.33 | $16.22 | |
United
| Professional | $10.23 | $19.50 | $26.92 |