| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.56 | $148.44 | $218.91 | |
Cigna
| Professional | $141.15 | $169.38 | $196.04 | |
HMSA
| Professional | $193.66 | $217.59 | $256.76 | |
Kaiser Permanente
| Professional | $129.38 | $172.51 | $196.04 | |
United
| Professional | $159.97 | $253.25 | $287.73 |