| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $19.95 | $25.70 | |
Cigna
| Facility | $21.38 | $21.38 | $29.51 | |
Cigna
| Professional | $21.38 | $33.11 | $46.77 | |
HMSA
| Professional | $38.02 | $38.02 | $39.81 | |
Kaiser Permanente
| Professional | $22.91 | $38.02 | $43.65 | |
United
| Facility | $16.98 | $16.98 | $21.38 | |
United
| Professional | $19.95 | $28.18 | $40.74 |