| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $77.62 | $102.33 | |
Cigna
| Facility | $83.18 | $83.18 | $114.82 | |
Cigna
| Professional | $83.18 | $128.82 | $181.97 | |
HMSA
| Professional | $147.91 | $147.91 | $154.88 | |
Kaiser Permanente
| Professional | $89.13 | $147.91 | $169.82 | |
United
| Facility | $66.07 | $81.28 | $83.18 | |
United
| Professional | $77.62 | $114.82 | $173.78 |