| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $60.26 | $60.26 | |
Aetna
| Professional | $16.98 | $22.91 | $30.20 | |
Cigna
| Professional | $22.39 | $30.20 | $41.69 | |
HMSA
| Professional | $33.88 | $35.48 | $35.48 | |
Kaiser Permanente
| Professional | $26.30 | $36.31 | $45.71 | |
United
| Professional | $23.99 | $30.90 | $40.74 |