| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Professional | $1.82 | $1.82 | $1.82 | |
HMSA
| Professional | $2.63 | $2.63 | $2.63 | |
Kaiser Permanente
| Professional | $2.00 | $2.19 | $2.51 | |
United
| Professional | $1.82 | $2.14 | $2.69 |