| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.12 | $180.48 | $266.26 | |
Cigna
| Professional | $185.36 | $222.44 | $257.45 | |
HMSA
| Professional | $235.20 | $264.26 | $311.83 | |
Kaiser Permanente
| Professional | $169.92 | $226.56 | $257.45 | |
United
| Professional | $210.08 | $284.25 | $350.16 |