| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $34.67 | $41.69 | |
Aetna
| Professional | $19.05 | $30.20 | $43.65 | |
Cigna
| Professional | $41.69 | $41.69 | $41.69 | |
HMSA
| Professional | $44.67 | $52.48 | $54.95 | |
Kaiser Permanente
| Professional | $38.90 | $41.69 | $52.48 | |
United
| Professional | $17.38 | $35.48 | $52.48 |