| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $14.79 | $35.48 | $41.69 | |
HMSA
| Professional | $38.90 | $38.90 | $40.74 | |
Kaiser Permanente
| Professional | $54.95 | $54.95 | $54.95 | |
United
| Professional | $14.79 | $22.39 | $41.69 |