| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.75 | $89.75 | $90.64 | |
Cigna
| Professional | $74.89 | $88.10 | $89.75 | |
HMSA
| Professional | $93.26 | $107.19 | $123.27 | |
Kaiser Permanente
| Professional | $98.72 | $107.70 | $125.64 | |
United
| Professional | $74.89 | $88.10 | $134.63 |