| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.27 | $58.10 | $74.56 | |
Cigna
| Professional | $74.56 | $74.56 | $74.56 | |
HMSA
| Professional | $55.31 | $65.06 | $77.68 | |
Kaiser Permanente
| Professional | $62.14 | $74.56 | $93.21 | |
United
| Professional | $26.10 | $74.56 | $93.21 |