| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.43 | $65.98 | $93.08 | |
Cigna
| Professional | $67.12 | $76.06 | $93.23 | |
HMSA
| Professional | $89.95 | $94.19 | $108.80 | |
Kaiser Permanente
| Professional | $61.53 | $82.04 | $93.23 | |
United
| Professional | $76.06 | $98.69 | $123.86 |