| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.75 | $9.88 | $56.15 | |
HMSA
| Professional | $22.30 | $22.30 | $26.31 | |
Kaiser Permanente
| Professional | $38.94 | $42.48 | $49.56 | |
United
| Professional | $13.50 | $23.24 | $26.11 |