| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.50 | $45.03 | $66.50 | |
Cigna
| Professional | $44.44 | $53.33 | $61.73 | |
HMSA
| Professional | $60.17 | $67.48 | $75.95 | |
Kaiser Permanente
| Professional | $40.74 | $54.32 | $61.73 | |
United
| Professional | $50.37 | $70.95 | $86.48 |