| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $51.29 | $56.23 | |
Cigna
| Professional | $44.67 | $51.29 | $63.10 | |
HMSA
| Professional | $72.44 | $79.43 | $91.20 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $204.17 | |
United
| Professional | $53.70 | $67.61 | $125.89 |