| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.39 | $89.10 | $130.50 | |
Cigna
| Professional | $93.83 | $112.59 | $130.31 | |
HMSA
| Professional | $115.01 | $132.01 | $152.47 | |
Kaiser Permanente
| Professional | $86.01 | $114.68 | $130.31 | |
United
| Professional | $106.34 | $130.31 | $171.92 |