| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $39.81 | $91.20 | |
Cigna
| Professional | $39.81 | $39.81 | $51.29 | |
HMSA
| Professional | $48.98 | $50.12 | $58.88 | |
Kaiser Permanente
| Professional | $39.81 | $47.86 | $60.26 | |
United
| Professional | $39.81 | $42.66 | $63.10 |