| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $18.20 | $21.88 | |
Aetna
| Professional | $3.02 | $14.13 | $20.89 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
HMSA
| Professional | $15.14 | $16.98 | $16.98 | |
Kaiser Permanente
| Professional | $18.62 | $22.39 | $27.54 | |
United
| Professional | $6.03 | $10.72 | $22.91 |