| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.01 | $71.20 | $114.93 | |
Cigna
| Professional | $71.72 | $92.09 | $168.87 | |
HMSA
| Professional | $124.25 | $124.25 | $124.25 | |
Kaiser Permanente
| Professional | $61.15 | $88.94 | $102.32 | |
United
| Professional | $86.98 | $106.59 | $131.03 |