| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $77.62 | |
Cigna
| Facility | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $54.95 | $64.57 | $95.50 | |
HMSA
| Professional | $89.13 | $93.33 | $112.20 | |
Kaiser Permanente
| Professional | $61.66 | $70.79 | $123.03 | |
United
| Facility | $4.90 | $36.31 | $63.10 | |
United
| Professional | $38.90 | $72.44 | $95.50 |