| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $75.86 | |
Cigna
| Facility | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $46.77 | $58.88 | $93.33 | |
HMSA
| Professional | $87.10 | $91.20 | $117.49 | |
Kaiser Permanente
| Professional | $6.03 | $61.66 | $120.23 | |
United
| Facility | $4.47 | $33.88 | $57.54 | |
United
| Professional | $38.02 | $67.61 | $93.33 |