| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $39.81 | $57.54 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $38.90 | $46.77 | $83.18 | |
HMSA
| Professional | $77.62 | $81.28 | $104.71 | |
Kaiser Permanente
| Professional | $54.95 | $60.26 | $109.65 | |
United
| Facility | $3.47 | $25.70 | $40.74 | |
United
| Professional | $29.51 | $61.66 | $83.18 |