| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.15 | $35.75 | $41.67 | |
Cigna
| Professional | $38.69 | $38.69 | $53.49 | |
HMSA
| Professional | $70.31 | $2,000.00 | $2,000.00 | |
Kaiser Permanente
| Professional | $47.07 | $51.35 | $55.63 | |
United
| Professional | $40.61 | $53.34 | $64.62 |