| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.09 | $111.33 | $154.72 | |
Cigna
| Professional | $107.72 | $122.08 | $149.61 | |
HMSA
| Professional | $134.69 | $154.61 | $178.58 | |
Kaiser Permanente
| Professional | $98.74 | $131.66 | $149.61 | |
United
| Professional | $122.08 | $165.55 | $205.17 |