| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.38 | $176.28 | $176.28 | |
Cigna
| Professional | $149.69 | $190.30 | $233.21 | |
HMSA
| Professional | $215.11 | $245.63 | $307.04 | |
Kaiser Permanente
| Professional | $186.57 | $223.88 | $261.20 | |
United
| Professional | $199.05 | $233.21 | $337.25 |