| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.89 | $19.57 | $24.60 | |
Cigna
| Professional | $21.00 | $24.00 | $49.94 | |
HMSA
| Professional | $33.59 | $37.72 | $39.50 | |
Kaiser Permanente
| Professional | $28.92 | $40.65 | $44.98 | |
United
| Professional | $59.37 | $79.83 | $85.08 |