| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.07 | $29.55 | $37.92 | |
Cigna
| Professional | $37.92 | $37.92 | $37.92 | |
HMSA
| Professional | $28.13 | $33.09 | $39.50 | |
Kaiser Permanente
| Professional | $31.60 | $37.92 | $47.40 | |
United
| Professional | $13.27 | $37.92 | $47.40 |