| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.90 | $60.08 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $132.40 | |
HMSA
| Professional | $105.80 | $105.80 | $105.80 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $56.46 | $60.32 | $94.66 |