| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $229.09 | $295.12 | |
Cigna
| Professional | $229.09 | $229.09 | $263.03 | |
HMSA
| Professional | $239.88 | $239.88 | $239.88 | |
Kaiser Permanente
| Professional | $229.09 | $275.42 | $346.74 | |
United
| Professional | $229.09 | $229.09 | $269.15 |