| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.13 | $102.13 | $102.13 | |
Cigna
| Professional | $135.10 | $171.91 | $210.68 | |
HMSA
| Professional | $168.49 | $212.76 | $265.95 | |
Kaiser Permanente
| Professional | $168.54 | $202.25 | $235.96 | |
United
| Professional | $156.19 | $210.68 | $325.49 |