| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.91 | $63.83 | $92.92 | |
Cigna
| Professional | $67.12 | $80.55 | $93.23 | |
HMSA
| Professional | $82.87 | $93.10 | $109.86 | |
Kaiser Permanente
| Professional | $61.53 | $82.04 | $93.23 | |
United
| Professional | $76.06 | $98.69 | $123.86 |