| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.32 | $179.32 | $179.32 | |
Cigna
| Professional | $194.32 | $247.35 | $303.13 | |
HMSA
| Professional | $216.23 | $331.58 | $414.48 | |
Kaiser Permanente
| Professional | $242.50 | $291.00 | $339.50 | |
United
| Professional | $200.03 | $303.13 | $462.35 |