| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.38 | $317.38 | $317.38 | |
Aetna
| Professional | $13.49 | $16.44 | $24.54 | |
Cigna
| Professional | $14.28 | $17.14 | $19.84 | |
HMSA
| Professional | $20.55 | $20.99 | $24.25 | |
Kaiser Permanente
| Professional | $13.09 | $17.46 | $19.84 | |
United
| Professional | $16.19 | $22.28 | $27.35 |