| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $33.88 | $33.88 | |
Cigna
| Professional | $14.13 | $14.13 | $32.36 | |
HMSA
| Professional | $26.92 | $31.62 | $31.62 | |
Kaiser Permanente
| Professional | $29.51 | $32.36 | $38.02 | |
United
| Professional | $14.13 | $32.36 | $40.74 |