| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $54.95 | $54.95 | |
Cigna
| Professional | $22.91 | $22.91 | $52.48 | |
HMSA
| Professional | $26.92 | $31.62 | $31.62 | |
Kaiser Permanente
| Professional | $47.86 | $52.48 | $61.66 | |
United
| Professional | $14.79 | $41.69 | $66.07 |