| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $33.11 | $48.98 | |
Cigna
| Facility | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $33.11 | $38.90 | $70.79 | |
HMSA
| Professional | $66.07 | $69.18 | $87.10 | |
Kaiser Permanente
| Professional | $45.71 | $51.29 | $91.20 | |
United
| Facility | $2.95 | $22.39 | $36.31 | |
United
| Professional | $24.55 | $51.29 | $70.79 |