| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $21.88 | |
Cigna
| Professional | $20.42 | $20.42 | $20.42 | |
HMSA
| Professional | $30.20 | $30.20 | $35.48 | |
Kaiser Permanente
| Professional | $22.91 | $24.55 | $28.84 | |
United
| Professional | $20.42 | $30.90 | $39.81 |