| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $211.06 | $217.26 | $245.95 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
HMSA
| Professional | $252.67 | $264.58 | $304.27 | |
Kaiser Permanente
| Professional | $231.19 | $308.25 | $355.89 |