| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.92 | $33.92 | $34.26 | |
Cigna
| Professional | $31.01 | $33.92 | $33.92 | |
HMSA
| Professional | $37.36 | $42.95 | $49.39 | |
Kaiser Permanente
| Professional | $37.31 | $40.70 | $47.49 | |
United
| Professional | $21.96 | $31.75 | $50.88 |