| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $83.18 | $100.00 | |
Aetna
| Professional | $7.08 | $64.57 | $81.28 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 | |
HMSA
| Professional | $83.18 | $97.72 | $104.71 | |
Kaiser Permanente
| Professional | $83.18 | $100.00 | $125.89 | |
United
| Professional | $35.48 | $83.18 | $125.89 |