| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.18 | $15.85 | $19.05 | |
Aetna
| Professional | $7.94 | $12.02 | $15.14 | |
Cigna
| Professional | $19.05 | $19.05 | $19.05 | |
HMSA
| Professional | $19.95 | $23.99 | $25.12 | |
Kaiser Permanente
| Professional | $15.85 | $19.05 | $23.99 | |
United
| Professional | $6.76 | $15.85 | $23.99 |