| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.82 | $61.36 | $78.73 | |
Cigna
| Professional | $50.11 | $82.07 | $97.41 | |
HMSA
| Professional | $84.12 | $84.12 | $105.15 | |
Kaiser Permanente
| Professional | $62.69 | $83.59 | $94.99 | |
United
| Professional | $69.58 | $94.99 | $113.15 |