| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.62 | $39.81 | $39.81 | |
Cigna
| Professional | $16.98 | $16.98 | $38.02 | |
HMSA
| Professional | $19.05 | $22.39 | $22.39 | |
Kaiser Permanente
| Professional | $35.48 | $38.02 | $44.67 | |
United
| Professional | $7.41 | $29.51 | $47.86 |