| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $79.43 | $91.20 | |
Cigna
| Professional | $67.61 | $67.61 | $128.82 | |
HMSA
| Professional | $263.03 | $275.42 | $275.42 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $169.82 | $181.97 | $204.17 |