| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.80 | $151.13 | $184.14 | |
Cigna
| Professional | $35.88 | $107.38 | $147.10 | |
HMSA
| Professional | $36.51 | $36.51 | $36.51 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $11.78 | $30.78 | $117.53 |