| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $83.18 | $104.71 | |
Cigna
| Professional | $85.11 | $85.11 | $95.50 | |
HMSA
| Professional | $89.13 | $89.13 | $102.33 | |
Kaiser Permanente
| Professional | $85.11 | $100.00 | $125.89 | |
United
| Professional | $83.18 | $85.11 | $95.50 |