| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $42.66 | $43.65 | |
Cigna
| Professional | $44.67 | $44.67 | $67.61 | |
HMSA
| Professional | $57.54 | $57.54 | $60.26 | |
Kaiser Permanente
| Professional | $50.12 | $60.26 | $70.79 | |
United
| Professional | $50.12 | $50.12 | $75.86 |