| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $21.88 | $26.30 | |
Cigna
| Professional | $22.39 | $22.39 | $25.70 | |
HMSA
| Professional | $22.39 | $22.39 | $22.39 | |
Kaiser Permanente
| Professional | $22.39 | $26.92 | $33.88 | |
United
| Professional | $21.88 | $22.39 | $25.70 |