| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $93.33 | $95.50 | |
Cigna
| Professional | $95.50 | $95.50 | $144.54 | |
HMSA
| Professional | $120.23 | $120.23 | $125.89 | |
Kaiser Permanente
| Professional | $107.15 | $128.82 | $147.91 | |
United
| Professional | $100.00 | $100.00 | $151.36 |