| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $60.26 | $72.44 | |
Cigna
| Facility | $61.66 | $61.66 | $72.44 | |
Cigna
| Professional | $61.66 | $81.28 | $114.82 | |
HMSA
| Professional | $93.33 | $93.33 | $97.72 | |
Kaiser Permanente
| Professional | $64.57 | $93.33 | $107.15 | |
United
| Facility | $47.86 | $48.98 | $60.26 | |
United
| Professional | $56.23 | $79.43 | $107.15 |