| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $33.11 | $51.29 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $34.67 | $40.74 | $72.44 | |
HMSA
| Professional | $67.61 | $70.79 | $89.13 | |
Kaiser Permanente
| Professional | $46.77 | $51.29 | $93.33 | |
United
| Facility | $3.02 | $22.39 | $36.31 | |
United
| Professional | $25.70 | $52.48 | $72.44 |