| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.94 | $26.94 | $27.21 | |
Cigna
| Professional | $26.94 | $30.88 | $36.33 | |
HMSA
| Professional | $41.66 | $46.29 | $50.84 | |
Kaiser Permanente
| Professional | $29.64 | $32.33 | $37.72 | |
United
| Professional | $26.94 | $32.70 | $40.40 |