| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.05 | $19.95 | |
Cigna
| Professional | $19.05 | $19.05 | $19.05 | |
HMSA
| Professional | $18.62 | $18.62 | $18.62 | |
Kaiser Permanente
| Professional | $20.89 | $22.91 | $26.92 | |
United
| Professional | $19.05 | $21.88 | $28.84 |