| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.54 | $38.54 | $38.93 | |
Cigna
| Professional | $38.54 | $53.81 | $53.81 | |
HMSA
| Professional | $59.64 | $68.55 | $77.25 | |
Kaiser Permanente
| Professional | $42.40 | $46.25 | $53.96 | |
United
| Professional | $38.54 | $48.43 | $57.81 |