| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.11 | $98.11 | $99.09 | |
Cigna
| Professional | $95.44 | $98.11 | $112.28 | |
HMSA
| Professional | $124.45 | $143.05 | $164.51 | |
Kaiser Permanente
| Professional | $107.92 | $117.73 | $137.35 | |
United
| Professional | $95.44 | $101.05 | $147.16 |