| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $38.90 | $50.12 | |
Cigna
| Facility | $43.65 | $43.65 | $70.79 | |
Cigna
| Professional | $43.65 | $79.43 | $112.20 | |
HMSA
| Professional | $91.20 | $91.20 | $95.50 | |
Kaiser Permanente
| Professional | $54.95 | $91.20 | $104.71 | |
United
| Facility | $34.67 | $34.67 | $43.65 | |
United
| Professional | $40.74 | $61.66 | $97.72 |