| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.79 | $153.71 | $214.12 | |
Cigna
| Professional | $153.75 | $175.79 | $215.43 | |
HMSA
| Professional | $187.03 | $214.66 | $241.65 | |
Kaiser Permanente
| Professional | $142.18 | $189.57 | $215.43 | |
United
| Professional | $175.79 | $228.31 | $284.66 |