| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.49 | $18.62 | $22.39 | |
Aetna
| Professional | $10.00 | $14.13 | $18.20 | |
Cigna
| Professional | $22.39 | $22.39 | $22.39 | |
HMSA
| Professional | $18.62 | $21.88 | $23.44 | |
Kaiser Permanente
| Professional | $18.62 | $22.39 | $28.18 | |
United
| Professional | $7.76 | $18.62 | $28.18 |