| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $28.18 | $28.18 | |
Cigna
| Facility | $12.59 | $12.59 | $12.59 | |
Cigna
| Professional | $12.59 | $12.59 | $19.50 | |
HMSA
| Professional | $18.20 | $18.20 | $18.20 | |
Kaiser Permanente
| Professional | $18.62 | $18.62 | $18.62 | |
United
| Facility | $17.78 | $19.50 | $20.89 | |
United
| Professional | $8.91 | $17.38 | $33.11 |