| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.39 | $26.92 | $32.36 | |
Aetna
| Professional | $14.13 | $20.89 | $25.70 | |
Cigna
| Professional | $32.36 | $32.36 | $32.36 | |
HMSA
| Professional | $30.90 | $37.15 | $38.90 | |
Kaiser Permanente
| Professional | $26.92 | $32.36 | $40.74 | |
United
| Professional | $11.48 | $26.92 | $40.74 |