| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.90 | $23.01 | $28.35 | |
Cigna
| Professional | $14.75 | $33.04 | $71.11 | |
HMSA
| Professional | $39.19 | $46.10 | $53.02 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $12.15 | $15.31 | $33.04 |