| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.48 | $42.66 | $52.48 | |
Aetna
| Professional | $19.95 | $33.11 | $41.69 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
HMSA
| Professional | $43.65 | $51.29 | $53.70 | |
Kaiser Permanente
| Professional | $47.86 | $52.48 | $64.57 | |
United
| Professional | $21.88 | $43.65 | $64.57 |