| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.63 | $6.74 | $69.25 | |
Cigna
| Professional | $5.96 | $50.59 | $77.66 | |
HMSA
| Professional | $22.38 | $25.14 | $26.33 | |
Kaiser Permanente
| Professional | $5.80 | $63.37 | $86.98 | |
United
| Professional | $52.16 | $76.79 | $97.80 |