| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.97 | $181.97 | $407.38 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
HMSA
| Professional | $213.80 | $213.80 | $213.80 | |
Kaiser Permanente
| Professional | $199.53 | $218.78 | $251.19 | |
United
| Professional | $181.97 | $208.93 | $269.15 |