| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $44.67 | $47.86 | |
Cigna
| Professional | $24.55 | $24.55 | $54.95 | |
HMSA
| Professional | $56.23 | $58.88 | $58.88 | |
Kaiser Permanente
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Professional | $10.00 | $28.84 | $61.66 |