| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.52 | $28.52 | $31.37 | |
Cigna
| Professional | $28.52 | $28.52 | $28.52 | |
HMSA
| Professional | $35.51 | $35.51 | $35.51 | |
Kaiser Permanente
| Professional | $28.52 | $34.22 | $42.78 | |
United
| Professional | $28.52 | $30.16 | $42.78 |