| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.30 | $57.61 | $69.84 | |
Cigna
| Professional | $55.95 | $73.54 | $87.00 | |
HMSA
| Professional | $69.33 | $77.90 | $89.59 | |
Kaiser Permanente
| Professional | $63.88 | $69.68 | $88.06 | |
United
| Professional | $57.45 | $78.63 | $103.40 |