| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.56 | $98.09 | $372.00 | |
Cigna
| Professional | $73.56 | $103.94 | $166.60 | |
HMSA
| Professional | $76.81 | $86.29 | $99.23 | |
Kaiser Permanente
| Professional | $86.11 | $93.94 | $109.59 | |
United
| Professional | $79.84 | $100.31 | $130.61 |