| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.70 | $70.70 | $71.40 | |
Cigna
| Professional | $70.70 | $87.17 | $108.96 | |
HMSA
| Professional | $90.14 | $106.05 | $121.96 | |
Kaiser Permanente
| Professional | $77.77 | $84.84 | $98.97 | |
United
| Professional | $70.70 | $78.45 | $106.05 |