| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.42 | $27.68 | $35.52 | |
Aetna
| Professional | $17.43 | $17.43 | $17.43 | |
Cigna
| Professional | $35.52 | $35.52 | $35.52 | |
HMSA
| Professional | $51.10 | $60.30 | $70.26 | |
Kaiser Permanente
| Professional | $32.56 | $35.52 | $41.44 | |
United
| Professional | $32.89 | $44.40 | $44.40 |