| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $56.23 | $61.66 | |
Cigna
| Professional | $30.90 | $30.90 | $69.18 | |
HMSA
| Professional | $72.44 | $75.86 | $75.86 | |
Kaiser Permanente
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $21.38 | $36.31 | $77.62 |