| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $25.70 | $41.69 | |
Cigna
| Facility | $38.90 | $38.90 | $39.81 | |
Cigna
| Professional | $39.81 | $43.65 | $61.66 | |
HMSA
| Professional | $50.12 | $50.12 | $52.48 | |
Kaiser Permanente
| Professional | $30.20 | $50.12 | $57.54 | |
United
| Facility | $29.51 | $30.90 | $35.48 | |
United
| Professional | $26.30 | $37.15 | $53.70 |