| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.54 | $91.54 | $92.45 | |
Cigna
| Professional | $70.42 | $82.85 | $91.54 | |
HMSA
| Professional | $85.68 | $100.80 | $115.92 | |
Kaiser Permanente
| Professional | $100.69 | $109.85 | $128.15 | |
United
| Professional | $70.42 | $82.85 | $137.31 |