| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.95 | $32.81 | $42.11 | |
Aetna
| Professional | $18.60 | $18.60 | $18.60 | |
Cigna
| Professional | $42.11 | $42.11 | $42.11 | |
HMSA
| Professional | $41.63 | $49.92 | $55.23 | |
Kaiser Permanente
| Professional | $38.60 | $42.11 | $49.13 | |
United
| Professional | $35.09 | $42.11 | $52.64 |