| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.88 | $39.53 | $50.74 | |
Cigna
| Professional | $50.74 | $50.74 | $50.74 | |
HMSA
| Professional | $37.63 | $44.27 | $52.85 | |
Kaiser Permanente
| Professional | $42.28 | $50.74 | $63.42 | |
United
| Professional | $17.76 | $50.74 | $72.47 |