| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $12.88 | $20.89 | |
Cigna
| Facility | $18.20 | $18.20 | $18.20 | |
Cigna
| Professional | $14.45 | $18.62 | $25.70 | |
HMSA
| Professional | $23.44 | $24.55 | $30.20 | |
Kaiser Permanente
| Professional | $16.60 | $18.20 | $33.11 | |
United
| Facility | $1.35 | $10.00 | $17.78 | |
United
| Professional | $10.72 | $19.05 | $25.70 |