| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.06 | $12.70 | $31.72 | |
Cigna
| Professional | $22.09 | $47.60 | $47.60 | |
HMSA
| Professional | $43.27 | $45.31 | $45.31 | |
Kaiser Permanente
| Professional | $60.58 | $60.58 | $60.58 | |
United
| Professional | $15.00 | $40.46 | $47.60 |