| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.67 | $44.67 | $50.12 | |
Cigna
| Professional | $45.71 | $45.71 | $45.71 | |
HMSA
| Professional | $48.98 | $48.98 | $48.98 | |
Kaiser Permanente
| Professional | $50.12 | $54.95 | $63.10 | |
United
| Professional | $45.71 | $45.71 | $67.61 |