| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.66 | $18.66 | $18.66 | |
Cigna
| Facility | $37.39 | $37.39 | $37.39 | |
Cigna
| Professional | $54.94 | $54.94 | $54.94 | |
HMSA
| Professional | $85.54 | $89.57 | $89.57 | |
Kaiser Permanente
| Professional | $8.55 | $8.55 | $8.55 | |
United
| Professional | $17.26 | $37.39 | $59.42 |