| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.75 | $54.15 | $69.70 | |
Cigna
| Professional | $55.95 | $66.02 | $80.91 | |
HMSA
| Professional | $52.62 | $63.65 | $79.40 | |
Kaiser Permanente
| Professional | $35.31 | $58.26 | $77.68 | |
United
| Professional | $66.02 | $80.95 | $100.88 |