| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.59 | $100.00 | $218.78 | |
Aetna
| Professional | $2.00 | $2.00 | $2.45 | |
Cigna
| Professional | $2.40 | $2.40 | $2.40 | |
HMSA
| Professional | $3.47 | $3.47 | $3.47 | |
Kaiser Permanente
| Professional | $2.63 | $2.88 | $3.31 | |
United
| Professional | $2.40 | $2.88 | $3.55 |