| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.37 | $25.35 | $32.53 | |
Cigna
| Professional | $32.53 | $32.53 | $32.53 | |
HMSA
| Professional | $27.73 | $32.61 | $38.94 | |
Kaiser Permanente
| Professional | $27.11 | $32.53 | $40.67 | |
United
| Professional | $11.39 | $32.53 | $40.67 |