| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $28.84 | $48.98 | |
Cigna
| Professional | $21.38 | $69.18 | $85.11 | |
HMSA
| Professional | $79.43 | $79.43 | $83.18 | |
Kaiser Permanente
| Professional | $109.65 | $109.65 | $109.65 | |
United
| Professional | $17.78 | $30.90 | $75.86 |