| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $158.49 | $199.53 | |
Cigna
| Professional | $141.25 | $158.49 | $194.98 | |
HMSA
| Professional | $199.53 | $218.78 | $251.19 | |
Kaiser Permanente
| Professional | $138.04 | $186.21 | $234.42 | |
United
| Professional | $141.25 | $234.42 | $288.40 |