| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $53.70 | $58.88 | |
Cigna
| Professional | $54.95 | $54.95 | $54.95 | |
HMSA
| Professional | $54.95 | $54.95 | $54.95 | |
Kaiser Permanente
| Professional | $60.26 | $66.07 | $75.86 | |
United
| Professional | $54.95 | $67.61 | $81.28 |