| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.72 | $69.72 | $69.72 | |
Cigna
| Professional | $71.40 | $71.40 | $107.73 | |
HMSA
| Professional | $90.75 | $90.75 | $95.03 | |
Kaiser Permanente
| Professional | $87.78 | $95.76 | $99.75 | |
United
| Professional | $79.80 | $107.73 | $119.70 |