| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.04 | $37.04 | $228.80 | |
Cigna
| Facility | $44.04 | $44.04 | $44.04 | |
Cigna
| Professional | $30.06 | $30.06 | $30.06 | |
HMSA
| Professional | $20.00 | $20.94 | $20.94 | |
Kaiser Permanente
| Professional | $2.00 | $2.00 | $2.00 | |
United
| Professional | $20.32 | $44.04 | $70.00 |