| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.41 | $62.41 | $63.04 | |
Cigna
| Professional | $60.73 | $71.45 | $82.45 | |
HMSA
| Professional | $75.63 | $86.93 | $99.97 | |
Kaiser Permanente
| Professional | $68.66 | $74.90 | $87.38 | |
United
| Professional | $60.73 | $64.31 | $93.62 |