| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $67.61 | $79.43 | |
Cigna
| Professional | $64.57 | $64.57 | $89.13 | |
HMSA
| Professional | $74.13 | $83.18 | $93.33 | |
Kaiser Permanente
| Professional | $70.79 | $75.86 | $89.13 | |
United
| Professional | $72.44 | $93.33 | $112.20 |