| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $28.18 | $44.67 | |
Cigna
| Professional | $28.84 | $53.70 | $72.44 | |
HMSA
| Professional | $58.88 | $58.88 | $61.66 | |
Kaiser Permanente
| Professional | $81.28 | $81.28 | $81.28 | |
United
| Professional | $16.98 | $27.54 | $63.10 |