| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.96 | $190.10 | $264.72 | |
Cigna
| Professional | $185.36 | $210.08 | $257.45 | |
HMSA
| Professional | $231.31 | $265.50 | $306.67 | |
Kaiser Permanente
| Professional | $169.92 | $226.56 | $257.45 | |
United
| Professional | $210.08 | $282.43 | $351.56 |