| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $70.79 | $83.18 | |
Cigna
| Professional | $70.79 | $70.79 | $77.62 | |
HMSA
| Professional | $74.13 | $74.13 | $74.13 | |
Kaiser Permanente
| Professional | $70.79 | $85.11 | $107.15 | |
United
| Professional | $67.61 | $70.79 | $79.43 |