| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $33.88 | $52.48 | |
Cigna
| Facility | $47.86 | $47.86 | $47.86 | |
Cigna
| Professional | $38.02 | $44.67 | $64.57 | |
HMSA
| Professional | $60.26 | $63.10 | $77.62 | |
Kaiser Permanente
| Professional | $42.66 | $47.86 | $85.11 | |
United
| Facility | $3.31 | $25.12 | $43.65 | |
United
| Professional | $26.92 | $47.86 | $64.57 |