| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.38 | $26.85 | $33.11 | |
Cigna
| Professional | $17.20 | $36.77 | $82.74 | |
HMSA
| Professional | $39.19 | $46.10 | $53.02 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $10.53 | $17.89 | $38.34 |