| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.26 | $92.96 | $130.72 | |
Cigna
| Professional | $93.83 | $106.34 | $130.31 | |
HMSA
| Professional | $125.90 | $132.16 | $155.40 | |
Kaiser Permanente
| Professional | $86.01 | $114.68 | $130.31 | |
United
| Professional | $94.55 | $130.31 | $171.92 |