| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.96 | $47.43 | $66.11 | |
Cigna
| Professional | $44.44 | $50.37 | $61.73 | |
HMSA
| Professional | $57.79 | $66.34 | $74.67 | |
Kaiser Permanente
| Professional | $40.74 | $54.32 | $61.73 | |
United
| Professional | $50.37 | $70.48 | $87.87 |