| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $46.77 | $52.48 | |
Cigna
| Professional | $47.86 | $47.86 | $47.86 | |
HMSA
| Professional | $60.26 | $60.26 | $60.26 | |
Kaiser Permanente
| Professional | $52.48 | $56.23 | $66.07 | |
United
| Professional | $52.48 | $58.88 | $70.79 |