| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $29.51 | $36.31 | |
Cigna
| Facility | $31.62 | $31.62 | $41.69 | |
Cigna
| Professional | $31.62 | $46.77 | $66.07 | |
HMSA
| Professional | $53.70 | $53.70 | $56.23 | |
Kaiser Permanente
| Professional | $32.36 | $53.70 | $61.66 | |
United
| Facility | $24.55 | $24.55 | $30.90 | |
United
| Professional | $28.84 | $40.74 | $58.88 |