| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.58 | $182.10 | $286.11 | |
Cigna
| Professional | $167.84 | $167.84 | $260.51 | |
HMSA
| Professional | $205.24 | $228.04 | $274.93 | |
Kaiser Permanente
| Professional | $196.43 | $222.37 | $259.43 | |
United
| Professional | $169.88 | $230.92 | $302.14 |