| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $660.69 | |
Aetna
| Professional | $23.99 | $28.84 | $30.20 | |
Cigna
| Professional | $30.90 | $30.90 | $45.71 | |
HMSA
| Professional | $38.90 | $38.90 | $40.74 | |
Kaiser Permanente
| Professional | $33.88 | $40.74 | $47.86 | |
United
| Professional | $30.20 | $30.20 | $45.71 |