| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $38.90 | $107.15 | |
Cigna
| Professional | $41.69 | $41.69 | $63.10 | |
HMSA
| Professional | $51.29 | $53.70 | $61.66 | |
Kaiser Permanente
| Professional | $52.48 | $61.66 | $70.79 | |
United
| Professional | $51.29 | $58.88 | $309.03 |