| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $223.87 | $245.47 | |
Cigna
| Professional | $223.87 | $223.87 | $223.87 | |
HMSA
| Professional | $213.80 | $213.80 | $213.80 | |
Kaiser Permanente
| Professional | $245.47 | $269.15 | $316.23 | |
United
| Professional | $223.87 | $263.03 | $338.84 |