| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.41 | $65.41 | $66.06 | |
Cigna
| Professional | $56.60 | $66.70 | $78.48 | |
HMSA
| Professional | $90.00 | $100.00 | $112.69 | |
Kaiser Permanente
| Professional | $71.95 | $78.48 | $91.57 | |
United
| Professional | $65.41 | $70.64 | $98.12 |