| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $26.92 | $48.98 | |
Cigna
| Professional | $27.54 | $27.54 | $31.62 | |
HMSA
| Professional | $39.81 | $39.81 | $39.81 | |
Kaiser Permanente
| Professional | $27.54 | $32.36 | $40.74 | |
United
| Professional | $27.54 | $28.84 | $40.74 |