| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $70.79 | $77.62 | |
Cigna
| Professional | $21.88 | $70.79 | $70.79 | |
HMSA
| Professional | $51.29 | $57.54 | $67.61 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $22.91 | $87.10 | $125.89 |