| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.79 | $17.78 | $21.88 | |
Aetna
| Professional | $10.96 | $15.14 | $18.20 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
HMSA
| Professional | $22.39 | $25.70 | $31.62 | |
Kaiser Permanente
| Professional | $18.20 | $21.88 | $26.92 | |
United
| Professional | $7.59 | $22.39 | $30.90 |