| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.30 | $21.65 | $40.96 | |
Cigna
| Professional | $22.46 | $33.43 | $40.96 | |
HMSA
| Professional | $32.19 | $33.71 | $33.71 | |
Kaiser Permanente
| Professional | $24.59 | $35.76 | $40.96 | |
United
| Professional | $29.49 | $35.39 | $41.66 |