| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.14 | $78.05 | $179.69 | |
Cigna
| Professional | $135.78 | $292.49 | $292.49 | |
HMSA
| Professional | $265.89 | $278.43 | $278.43 | |
Kaiser Permanente
| Professional | $372.26 | $372.26 | $372.26 | |
United
| Professional | $88.29 | $263.24 | $331.64 |