| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.01 | $28.01 | $28.01 | |
Cigna
| Facility | $39.89 | $39.89 | $39.89 | |
Cigna
| Professional | $62.01 | $62.01 | $62.01 | |
HMSA
| Professional | $48.63 | $48.63 | $48.63 | |
Kaiser Permanente
| Professional | $48.63 | $48.63 | $48.63 | |
United
| Facility | $46.00 | $46.00 | $47.20 | |
United
| Professional | $36.65 | $39.89 | $58.02 |