| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.41 | $89.41 | $90.30 | |
Cigna
| Professional | $88.92 | $104.61 | $104.61 | |
HMSA
| Professional | $110.73 | $127.28 | $146.37 | |
Kaiser Permanente
| Professional | $98.35 | $107.29 | $125.17 | |
United
| Professional | $88.92 | $104.61 | $134.12 |