| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $38.90 | $42.66 | |
Cigna
| Professional | $39.81 | $39.81 | $39.81 | |
HMSA
| Professional | $38.90 | $38.90 | $38.90 | |
Kaiser Permanente
| Professional | $43.65 | $47.86 | $56.23 | |
United
| Professional | $39.81 | $47.86 | $60.26 |