| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $76.80 | $101.37 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
HMSA
| Professional | $69.93 | $69.93 | $69.93 | |
Kaiser Permanente
| Professional | $81.20 | $88.58 | $103.34 | |
United
| Professional | $77.70 | $88.58 | $110.73 |