| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $32.36 | $42.66 | |
Cigna
| Facility | $34.67 | $34.67 | $48.98 | |
Cigna
| Professional | $34.67 | $54.95 | $77.62 | |
HMSA
| Professional | $63.10 | $63.10 | $66.07 | |
Kaiser Permanente
| Professional | $37.15 | $63.10 | $72.44 | |
United
| Facility | $27.54 | $28.18 | $34.67 | |
United
| Professional | $33.11 | $46.77 | $67.61 |