| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $20.42 | $25.70 | |
Cigna
| Facility | $24.55 | $24.55 | $29.51 | |
Cigna
| Professional | $24.55 | $33.11 | $46.77 | |
HMSA
| Professional | $38.02 | $38.02 | $39.81 | |
Kaiser Permanente
| Professional | $26.92 | $38.02 | $43.65 | |
United
| Facility | $16.98 | $16.98 | $21.38 | |
United
| Professional | $19.95 | $29.51 | $40.74 |