| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $30.90 | $38.02 | |
Aetna
| Professional | $16.98 | $23.99 | $30.20 | |
Cigna
| Professional | $38.02 | $38.02 | $38.02 | |
HMSA
| Professional | $39.81 | $48.98 | $48.98 | |
Kaiser Permanente
| Professional | $31.62 | $38.02 | $46.77 | |
United
| Professional | $13.18 | $31.62 | $46.77 |