| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.91 | $191.91 | $263.56 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
HMSA
| Professional | $181.82 | $181.82 | $181.82 | |
Kaiser Permanente
| Professional | $191.92 | $230.30 | $268.69 | |
United
| Professional | $193.85 | $202.02 | $252.53 |