| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $30.20 | $33.11 | |
Cigna
| Professional | $30.20 | $30.20 | $30.20 | |
HMSA
| Professional | $43.65 | $43.65 | $43.65 | |
Kaiser Permanente
| Professional | $33.11 | $36.31 | $42.66 | |
United
| Professional | $33.88 | $45.71 | $64.57 |