| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $40.74 | $64.57 | |
Cigna
| Facility | $39.81 | $39.81 | $61.66 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
HMSA
| Professional | $48.98 | $48.98 | $48.98 | |
Kaiser Permanente
| Professional | $48.98 | $48.98 | $48.98 | |
United
| Facility | $45.71 | $46.77 | $54.95 | |
United
| Professional | $36.31 | $53.70 | $77.62 |