| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.27 | $67.27 | $67.95 | |
Cigna
| Professional | $67.27 | $76.95 | $90.55 | |
HMSA
| Professional | $100.36 | $115.36 | $132.66 | |
Kaiser Permanente
| Professional | $74.00 | $80.73 | $94.18 | |
United
| Professional | $67.27 | $81.48 | $100.91 |