| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $758.58 | $954.99 | |
Aetna
| Professional | $2.40 | $28.18 | $758.58 | |
Cigna
| Professional | $0.11 | $0.11 | $0.14 | |
HMSA
| Professional | $0.16 | $0.16 | $0.16 | |
Kaiser Permanente
| Professional | $0.11 | $0.13 | $0.16 | |
United
| Professional | $0.11 | $0.12 | $0.17 |