| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $41.69 | $51.29 | |
Aetna
| Professional | $41.69 | $41.69 | $50.12 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
HMSA
| Professional | $42.66 | $50.12 | $52.48 | |
Kaiser Permanente
| Professional | $42.66 | $51.29 | $63.10 | |
United
| Professional | $17.78 | $44.67 | $72.44 |