| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $40.74 | $46.77 | |
Cigna
| Professional | $13.80 | $13.80 | $31.62 | |
HMSA
| Professional | $28.84 | $33.88 | $33.88 | |
Kaiser Permanente
| Professional | $28.84 | $31.62 | $37.15 | |
United
| Professional | $18.20 | $31.62 | $51.29 |