| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $25.70 | $44.67 | |
Cigna
| Professional | $26.30 | $26.30 | $33.88 | |
HMSA
| Professional | $32.36 | $32.36 | $32.36 | |
Kaiser Permanente
| Professional | $26.30 | $31.62 | $38.90 | |
United
| Professional | $26.30 | $27.54 | $51.29 |