| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $72.44 | $85.11 | |
Cigna
| Professional | $74.13 | $74.13 | $83.18 | |
HMSA
| Professional | $70.79 | $70.79 | $70.79 | |
Kaiser Permanente
| Professional | $74.13 | $89.13 | $109.65 | |
United
| Professional | $72.44 | $74.13 | $85.11 |