| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.90 | $71.95 | $100.12 | |
Cigna
| Professional | $70.47 | $79.87 | $97.88 | |
HMSA
| Professional | $95.90 | $100.42 | $115.99 | |
Kaiser Permanente
| Professional | $64.59 | $86.13 | $97.88 | |
United
| Professional | $79.87 | $106.87 | $133.72 |