| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $89.13 | $109.65 | |
Cigna
| Professional | $81.28 | $81.28 | $112.20 | |
HMSA
| Professional | $102.33 | $114.82 | $131.83 | |
Kaiser Permanente
| Professional | $83.18 | $100.00 | $125.89 | |
United
| Professional | $81.28 | $112.20 | $154.88 |