| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.49 | $49.28 | $63.25 | |
Cigna
| Professional | $63.25 | $63.25 | $63.25 | |
HMSA
| Professional | $46.91 | $55.19 | $65.89 | |
Kaiser Permanente
| Professional | $52.71 | $63.25 | $79.06 | |
United
| Professional | $22.14 | $63.25 | $79.06 |