| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.57 | $156.47 | $217.79 | |
Cigna
| Professional | $141.15 | $159.97 | $196.04 | |
HMSA
| Professional | $190.21 | $218.32 | $252.18 | |
Kaiser Permanente
| Professional | $129.38 | $172.51 | $196.04 | |
United
| Professional | $159.97 | $232.40 | $289.47 |