| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.90 | $34.67 | $512.86 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Professional | $1.32 | $1.32 | $1.32 | |
HMSA
| Professional | $1.95 | $1.95 | $1.95 | |
Kaiser Permanente
| Professional | $1.45 | $1.58 | $1.86 | |
United
| Professional | $1.32 | $1.95 | $2.00 |