| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $33.88 | $40.74 | |
Aetna
| Professional | $10.00 | $25.70 | $33.11 | |
Cigna
| Professional | $40.74 | $40.74 | $40.74 | |
HMSA
| Professional | $53.70 | $69.18 | $77.62 | |
Kaiser Permanente
| Professional | $33.88 | $40.74 | $51.29 | |
United
| Professional | $14.45 | $34.67 | $51.29 |