| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.43 | $48.09 | $61.72 | |
Cigna
| Professional | $61.72 | $61.72 | $61.72 | |
HMSA
| Professional | $48.06 | $56.54 | $67.50 | |
Kaiser Permanente
| Professional | $51.43 | $61.72 | $77.15 | |
United
| Professional | $21.60 | $61.72 | $72.47 |