| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
HMSA
| Professional | $16.22 | $18.20 | $19.05 | |
Kaiser Permanente
| Professional | $20.42 | $21.88 | $25.70 | |
United
| Professional | $9.12 | $9.12 | $27.54 |