| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $891.25 | |
Aetna
| Professional | $3.02 | $3.02 | $16.98 | |
Cigna
| Professional | $3.63 | $3.63 | $4.68 | |
HMSA
| Professional | $4.47 | $4.47 | $4.47 | |
Kaiser Permanente
| Professional | $3.63 | $4.27 | $5.37 | |
United
| Professional | $3.63 | $3.80 | $6.31 |