| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $52.48 | $52.48 | |
Cigna
| Professional | $36.31 | $44.67 | $51.29 | |
HMSA
| Professional | $47.86 | $50.12 | $50.12 | |
Kaiser Permanente
| Professional | $0.50 | $33.11 | $66.07 | |
United
| Facility | $3.09 | $22.39 | $43.65 | |
United
| Professional | $25.12 | $42.66 | $57.54 |