| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.42 | $19.18 | $23.58 | |
Cigna
| Professional | $12.29 | $26.97 | $59.49 | |
HMSA
| Professional | $39.19 | $46.10 | $53.02 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $11.27 | $12.73 | $27.32 |