| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.08 | $29.15 | $116.77 | |
Cigna
| Professional | $28.21 | $28.21 | $28.21 | |
HMSA
| Professional | $31.00 | $31.00 | $31.00 | |
Kaiser Permanente
| Professional | $23.35 | $25.48 | $29.72 | |
United
| Professional | $21.23 | $25.48 | $31.85 |