| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $239.88 | $281.84 | |
Cigna
| Professional | $239.88 | $239.88 | $269.15 | |
HMSA
| Professional | $223.87 | $223.87 | $223.87 | |
Kaiser Permanente
| Professional | $239.88 | $288.40 | $363.08 | |
United
| Professional | $239.88 | $245.47 | $281.84 |