| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $52.48 | $64.57 | |
Cigna
| Professional | $53.70 | $53.70 | $60.26 | |
HMSA
| Professional | $52.48 | $52.48 | $52.48 | |
Kaiser Permanente
| Professional | $53.70 | $64.57 | $81.28 | |
United
| Professional | $52.48 | $53.70 | $60.26 |