| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $28.18 | $33.11 | |
Cigna
| Facility | $38.02 | $38.02 | $51.29 | |
Cigna
| Professional | $38.02 | $54.95 | $77.62 | |
HMSA
| Professional | $63.10 | $63.10 | $66.07 | |
Kaiser Permanente
| Professional | $43.65 | $63.10 | $72.44 | |
United
| Facility | $29.51 | $29.51 | $37.15 | |
United
| Professional | $10.72 | $48.98 | $67.61 |