| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $12.02 | $19.05 | |
Cigna
| Facility | $19.50 | $19.50 | $19.50 | |
Cigna
| Professional | $13.80 | $16.22 | $26.30 | |
HMSA
| Professional | $25.12 | $26.30 | $33.11 | |
Kaiser Permanente
| Professional | $17.38 | $19.50 | $34.67 | |
United
| Facility | $1.23 | $9.12 | $15.14 | |
United
| Professional | $10.00 | $19.50 | $26.30 |