| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.06 | $110.74 | $154.51 | |
Cigna
| Professional | $110.25 | $124.95 | $153.13 | |
HMSA
| Professional | $148.10 | $155.46 | $182.80 | |
Kaiser Permanente
| Professional | $101.06 | $134.75 | $153.13 | |
United
| Professional | $124.95 | $164.63 | $205.62 |