| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.47 | $62.40 | $75.91 | |
Cigna
| Professional | $68.86 | $92.16 | $288.58 | |
HMSA
| Professional | $76.80 | $86.28 | $99.22 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $65.83 | $89.11 | $131.62 |