| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.58 | $64.79 | $469.21 | |
Cigna
| Professional | $54.19 | $72.29 | $103.73 | |
HMSA
| Professional | $56.48 | $63.46 | $74.88 | |
Kaiser Permanente
| Professional | $60.57 | $66.06 | $77.08 | |
United
| Professional | $56.16 | $68.83 | $100.32 |