| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.62 | $20.14 | $42.31 | |
Cigna
| Professional | $31.73 | $63.48 | $63.48 | |
HMSA
| Professional | $57.71 | $60.43 | $60.43 | |
Kaiser Permanente
| Professional | $80.79 | $80.79 | $80.79 | |
United
| Professional | $20.64 | $57.13 | $71.97 |