| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.75 | $65.14 | $95.73 | |
Cigna
| Professional | $66.13 | $79.36 | $91.85 | |
HMSA
| Professional | $83.46 | $95.79 | $107.84 | |
Kaiser Permanente
| Professional | $60.62 | $80.83 | $91.85 | |
United
| Professional | $74.95 | $102.34 | $123.35 |