| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.67 | $258.39 | $659.60 | |
Aetna
| Professional | $29.88 | $29.88 | $32.86 | |
Cigna
| Professional | $30.60 | $30.60 | $46.17 | |
HMSA
| Professional | $38.89 | $38.89 | $40.72 | |
Kaiser Permanente
| Professional | $37.61 | $41.04 | $42.75 | |
United
| Professional | $30.00 | $45.00 | $46.17 |