| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.09 | $76.09 | $76.84 | |
Cigna
| Professional | $76.09 | $102.04 | $127.55 | |
HMSA
| Professional | $105.52 | $124.14 | $142.76 | |
Kaiser Permanente
| Professional | $83.70 | $91.31 | $106.52 | |
United
| Professional | $76.09 | $102.04 | $114.14 |