| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.02 | $232.36 | $298.20 | |
Cigna
| Professional | $298.20 | $298.20 | $298.20 | |
HMSA
| Professional | $234.20 | $280.82 | $310.64 | |
Kaiser Permanente
| Professional | $273.36 | $298.20 | $347.91 | |
United
| Professional | $248.51 | $298.20 | $372.77 |