| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $28.84 | $51.29 | |
Cigna
| Professional | $17.78 | $40.74 | $54.95 | |
HMSA
| Professional | $44.67 | $44.67 | $46.77 | |
Kaiser Permanente
| Professional | $63.10 | $63.10 | $63.10 | |
United
| Professional | $12.30 | $21.88 | $91.20 |