| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.79 | $62.40 | $84.86 | |
Cigna
| Professional | $61.80 | $61.80 | $61.80 | |
HMSA
| Professional | $247.03 | $247.03 | $247.03 | |
Kaiser Permanente
| Professional | $67.98 | $74.16 | $86.51 | |
United
| Professional | $61.80 | $92.70 | $203.04 |