| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.00 | $28.09 | $2,265.94 | |
Cigna
| Professional | $27.00 | $27.00 | $27.00 | |
HMSA
| Professional | $38.34 | $38.34 | $38.34 | |
Kaiser Permanente
| Professional | $29.70 | $32.40 | $37.79 | |
United
| Professional | $27.00 | $31.52 | $40.50 |