| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.03 | $115.34 | $256.68 | |
Cigna
| Professional | $253.28 | $253.28 | $253.28 | |
HMSA
| Professional | $287.52 | $330.83 | $389.01 | |
Kaiser Permanente
| Professional | $296.13 | $323.05 | $376.89 | |
United
| Professional | $162.10 | $253.10 | $389.61 |