| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.31 | $106.34 | $155.97 | |
Cigna
| Professional | $107.72 | $129.27 | $149.61 | |
HMSA
| Professional | $137.27 | $154.22 | $181.98 | |
Kaiser Permanente
| Professional | $98.74 | $131.66 | $149.61 | |
United
| Professional | $122.08 | $166.91 | $202.38 |