| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $64.57 | $91.20 | |
Cigna
| Professional | $50.12 | $77.62 | $97.72 | |
HMSA
| Professional | $83.18 | $83.18 | $104.71 | |
Kaiser Permanente
| Professional | $67.61 | $89.13 | $114.82 | |
United
| Professional | $67.61 | $75.86 | $112.20 |