| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $23.99 | $37.15 | |
Cigna
| Professional | $17.38 | $39.81 | $53.70 | |
HMSA
| Professional | $43.65 | $43.65 | $45.71 | |
Kaiser Permanente
| Professional | $60.26 | $60.26 | $60.26 | |
United
| Professional | $12.02 | $21.38 | $97.72 |