| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $97.72 | $107.15 | |
Cigna
| Professional | $66.07 | $97.72 | $112.20 | |
HMSA
| Professional | $138.04 | $158.49 | $173.78 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $104.71 | $125.89 | $165.96 |