| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.01 | $68.50 | $100.96 | |
Cigna
| Professional | $70.47 | $84.56 | $97.88 | |
HMSA
| Professional | $89.47 | $102.69 | $118.61 | |
Kaiser Permanente
| Professional | $64.59 | $86.13 | $97.88 | |
United
| Professional | $79.87 | $97.88 | $132.69 |