| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.05 | $20.89 | |
Cigna
| Professional | $19.95 | $19.95 | $24.55 | |
HMSA
| Professional | $25.70 | $30.20 | $34.67 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $20.89 | $24.55 | $125.89 |