| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.34 | $149.11 | $215.25 | |
Cigna
| Professional | $155.11 | $186.13 | $215.43 | |
HMSA
| Professional | $190.44 | $218.59 | $252.48 | |
Kaiser Permanente
| Professional | $142.18 | $189.57 | $215.43 | |
United
| Professional | $175.79 | $229.67 | $282.89 |