| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.34 | $168.34 | $168.34 | |
Cigna
| Professional | $172.40 | $172.40 | $260.12 | |
HMSA
| Professional | $206.27 | $229.19 | $286.49 | |
Kaiser Permanente
| Professional | $198.46 | $231.22 | $269.75 | |
United
| Professional | $202.82 | $260.12 | $304.23 |