| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.55 | $29.51 | $35.48 | |
Aetna
| Professional | $16.98 | $25.12 | $40.74 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 | |
HMSA
| Professional | $51.29 | $66.07 | $72.44 | |
Kaiser Permanente
| Professional | $32.36 | $35.48 | $44.67 | |
United
| Professional | $16.60 | $33.11 | $44.67 |