| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $162.18 | $162.18 | |
Aetna
| Professional | $218.78 | $263.03 | $269.15 | |
Cigna
| Professional | $275.42 | $275.42 | $407.38 | |
HMSA
| Professional | $69.18 | $69.18 | $72.44 | |
Kaiser Permanente
| Professional | $302.00 | $363.08 | $426.58 | |
United
| Professional | $269.15 | $269.15 | $407.38 |