| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.41 | $8.41 | $8.41 | |
Cigna
| Facility | $17.62 | $17.62 | $17.62 | |
Cigna
| Professional | $14.21 | $14.21 | $14.21 | |
HMSA
| Professional | $17.62 | $18.45 | $18.45 | |
Kaiser Permanente
| Professional | $17.19 | $17.19 | $17.19 | |
United
| Professional | $10.19 | $16.17 | $17.62 |