| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $79.43 | $89.13 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
HMSA
| Professional | $70.79 | $74.13 | $74.13 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $67.61 | $70.79 | $79.43 |