| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $72.44 | $87.10 | |
Cigna
| Professional | $66.07 | $74.13 | $91.20 | |
HMSA
| Professional | $87.10 | $95.50 | $109.65 | |
Kaiser Permanente
| Professional | $63.10 | $83.18 | $107.15 | |
United
| Professional | $66.07 | $102.33 | $125.89 |