| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.31 | $39.31 | $39.71 | |
Cigna
| Professional | $39.31 | $39.31 | $75.84 | |
HMSA
| Professional | $60.85 | $69.94 | $72.39 | |
Kaiser Permanente
| Professional | $43.24 | $47.18 | $55.04 | |
United
| Professional | $39.31 | $58.97 | $915.88 |