| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $25.12 | $30.20 | |
Aetna
| Professional | $15.14 | $22.91 | $23.99 | |
Cigna
| Professional | $23.44 | $23.44 | $30.20 | |
HMSA
| Professional | $8.71 | $8.71 | $8.71 | |
Kaiser Permanente
| Professional | $27.54 | $30.20 | $35.48 | |
United
| Professional | $10.47 | $27.54 | $38.02 |