| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.88 | $105.18 | $155.25 | |
Cigna
| Professional | $110.25 | $132.30 | $153.13 | |
HMSA
| Professional | $137.56 | $157.90 | $177.74 | |
Kaiser Permanente
| Professional | $101.06 | $134.75 | $153.13 | |
United
| Professional | $124.95 | $165.55 | $203.88 |