| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $18.20 | $28.84 | |
Cigna
| Facility | $26.30 | $26.30 | $26.30 | |
Cigna
| Professional | $21.38 | $25.70 | $36.31 | |
HMSA
| Professional | $34.67 | $35.48 | $44.67 | |
Kaiser Permanente
| Professional | $23.44 | $25.70 | $46.77 | |
United
| Facility | $1.86 | $14.13 | $24.55 | |
United
| Professional | $15.14 | $26.92 | $36.31 |