| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $43.65 | $3,630.78 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
HMSA
| Professional | $66.07 | $66.07 | $66.07 | |
Kaiser Permanente
| Professional | $48.98 | $53.70 | $63.10 | |
United
| Professional | $44.67 | $52.48 | $67.61 |