| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $77.62 | $85.11 | |
Cigna
| Professional | $69.18 | $77.62 | $104.71 | |
HMSA
| Professional | $109.65 | $125.89 | $144.54 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $77.62 | $104.71 | $125.89 |