| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.60 | $129.60 | $129.60 | |
Cigna
| Professional | $152.07 | $193.33 | $236.93 | |
HMSA
| Professional | $215.66 | $247.02 | $308.77 | |
Kaiser Permanente
| Professional | $189.54 | $227.45 | $265.36 | |
United
| Professional | $199.54 | $236.93 | $337.25 |