| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $23.44 | $30.20 | |
Cigna
| Professional | $22.39 | $22.39 | $33.11 | |
HMSA
| Professional | $26.30 | $28.84 | $29.51 | |
Kaiser Permanente
| Professional | $28.84 | $31.62 | $37.15 | |
United
| Professional | $12.88 | $14.45 | $42.66 |