| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.46 | $157.47 | $220.32 | |
Cigna
| Professional | $156.72 | $156.72 | $323.95 | |
HMSA
| Professional | $244.93 | $281.12 | $331.37 | |
Kaiser Permanente
| Professional | $197.26 | $232.07 | $270.75 | |
United
| Professional | $159.02 | $235.00 | $320.45 |