| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $56.23 | $79.43 | |
Cigna
| Professional | $60.26 | $81.28 | $251.19 | |
HMSA
| Professional | $66.07 | $75.86 | $85.11 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $56.23 | $77.62 | $114.82 |