| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $30.90 | $37.15 | |
Cigna
| Professional | $31.62 | $31.62 | $35.48 | |
HMSA
| Professional | $30.90 | $30.90 | $30.90 | |
Kaiser Permanente
| Professional | $31.62 | $37.15 | $46.77 | |
United
| Professional | $29.51 | $31.62 | $34.67 |