| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $186.21 | $263.03 | |
Cigna
| Professional | $186.21 | $186.21 | $213.80 | |
HMSA
| Professional | $177.83 | $177.83 | $177.83 | |
Kaiser Permanente
| Professional | $186.21 | $223.87 | $281.84 | |
United
| Professional | $186.21 | $190.55 | $213.80 |