| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.99 | $47.42 | $66.15 | |
Cigna
| Professional | $43.48 | $49.28 | $60.39 | |
HMSA
| Professional | $63.40 | $66.55 | $78.26 | |
Kaiser Permanente
| Professional | $39.86 | $53.14 | $60.39 | |
United
| Professional | $43.31 | $60.39 | $87.95 |