| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
Cigna
| Professional | $39.75 | $58.76 | $58.76 | |
HMSA
| Professional | $53.42 | $55.94 | $55.94 | |
Kaiser Permanente
| Professional | $74.79 | $74.79 | $74.79 | |
United
| Professional | $31.12 | $58.76 | $77.79 |