| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $67.61 | $77.62 | |
Cigna
| Facility | $75.86 | $75.86 | $125.89 | |
Cigna
| Professional | $75.86 | $117.49 | $165.96 | |
HMSA
| Professional | $134.90 | $134.90 | $141.25 | |
Kaiser Permanente
| Professional | $81.28 | $134.90 | $154.88 | |
United
| Facility | $70.79 | $72.44 | $89.13 | |
United
| Professional | $50.12 | $120.23 | $162.18 |