| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.45 | $16.45 | $16.45 | |
Cigna
| Facility | $33.24 | $33.24 | $33.24 | |
Cigna
| Professional | $27.60 | $27.60 | $27.60 | |
HMSA
| Professional | $30.00 | $31.41 | $31.41 | |
Kaiser Permanente
| Professional | $3.00 | $3.00 | $3.00 | |
United
| Professional | $15.34 | $33.24 | $52.38 |