| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $389.05 | $478.63 | |
Aetna
| Professional | $2.00 | $3.02 | $83.18 | |
Cigna
| Professional | $2.95 | $2.95 | $3.63 | |
HMSA
| Professional | $3.63 | $3.63 | $3.63 | |
Kaiser Permanente
| Professional | $2.95 | $3.55 | $4.37 | |
United
| Professional | $2.95 | $3.09 | $34.67 |