| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $20.89 | $22.91 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
HMSA
| Professional | $30.90 | $30.90 | $37.15 | |
Kaiser Permanente
| Professional | $23.44 | $25.70 | $30.20 | |
United
| Professional | $21.38 | $25.70 | $32.36 |