| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $22.91 | $25.70 | |
Cigna
| Professional | $23.99 | $23.99 | $23.99 | |
HMSA
| Professional | $34.67 | $34.67 | $34.67 | |
Kaiser Permanente
| Professional | $26.30 | $28.84 | $33.11 | |
United
| Professional | $23.99 | $35.48 | $36.31 |