| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $28.84 | $32.36 | |
Cigna
| Professional | $28.84 | $30.20 | $40.74 | |
HMSA
| Professional | $39.81 | $44.67 | $56.23 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $30.20 | $36.31 | $125.89 |