| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $48.98 | $53.70 | |
Cigna
| Professional | $50.12 | $50.12 | $50.12 | |
HMSA
| Professional | $50.12 | $50.12 | $50.12 | |
Kaiser Permanente
| Professional | $54.95 | $60.26 | $69.18 | |
United
| Professional | $50.12 | $58.88 | $74.13 |