| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $10.00 | $40.74 | |
HMSA
| Professional | $22.39 | $22.39 | $28.18 | |
Kaiser Permanente
| Professional | $39.81 | $43.65 | $50.12 | |
United
| Professional | $13.49 | $23.44 | $26.30 |