| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.22 | $19.50 | $23.44 | |
Aetna
| Professional | $10.00 | $15.14 | $18.20 | |
Cigna
| Professional | $23.44 | $23.44 | $23.44 | |
HMSA
| Professional | $26.30 | $33.88 | $37.15 | |
Kaiser Permanente
| Professional | $19.50 | $23.44 | $29.51 | |
United
| Professional | $8.13 | $23.44 | $29.51 |