| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $28.84 | $43.65 | |
Cigna
| Facility | $41.69 | $41.69 | $41.69 | |
Cigna
| Professional | $30.90 | $36.31 | $57.54 | |
HMSA
| Professional | $53.70 | $56.23 | $72.44 | |
Kaiser Permanente
| Professional | $3.80 | $38.02 | $75.86 | |
United
| Facility | $2.63 | $19.95 | $33.88 | |
United
| Professional | $21.88 | $41.69 | $57.54 |