| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $30.90 | $38.02 | |
Cigna
| Professional | $30.90 | $30.90 | $37.15 | |
HMSA
| Professional | $30.90 | $30.90 | $30.90 | |
Kaiser Permanente
| Professional | $30.90 | $37.15 | $46.77 | |
United
| Professional | $30.90 | $32.36 | $37.15 |