| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $33.88 | $40.74 | |
Aetna
| Professional | $18.20 | $28.84 | $41.69 | |
Cigna
| Professional | $40.74 | $40.74 | $40.74 | |
HMSA
| Professional | $10.00 | $10.00 | $10.00 | |
Kaiser Permanente
| Professional | $37.15 | $40.74 | $51.29 | |
United
| Professional | $16.98 | $33.88 | $51.29 |