| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.88 | $65.88 | $66.54 | |
Cigna
| Professional | $65.33 | $65.88 | $76.84 | |
HMSA
| Professional | $85.19 | $97.92 | $112.61 | |
Kaiser Permanente
| Professional | $72.47 | $79.06 | $92.23 | |
United
| Professional | $65.33 | $76.84 | $98.82 |