| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.37 | $33.51 | $63.65 | |
HMSA
| Professional | $27.12 | $33.90 | $48.53 | |
Kaiser Permanente
| Professional | $46.35 | $55.62 | $69.53 | |
United
| Professional | $19.44 | $55.62 | $69.53 |