| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $69.18 | $74.13 | |
Cigna
| Professional | $37.15 | $37.15 | $85.11 | |
HMSA
| Professional | $87.10 | $91.20 | $91.20 | |
Kaiser Permanente
| Professional | $123.03 | $123.03 | $123.03 | |
United
| Professional | $19.05 | $43.65 | $93.33 |