| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.51 | $130.51 | $130.51 | |
Cigna
| Professional | $150.88 | $191.81 | $235.06 | |
HMSA
| Professional | $200.07 | $247.96 | $298.58 | |
Kaiser Permanente
| Professional | $188.05 | $225.66 | $263.27 | |
United
| Professional | $185.26 | $235.06 | $339.72 |