| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.32 | $42.65 | $63.72 | |
Cigna
| Professional | $52.17 | $62.61 | $90.44 | |
HMSA
| Professional | $85.35 | $89.37 | $102.78 | |
Kaiser Permanente
| Professional | $38.65 | $53.06 | $69.56 | |
United
| Professional | $59.13 | $72.45 | $110.57 |