| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.98 | $194.98 | $229.09 | |
Cigna
| Professional | $194.98 | $194.98 | $223.87 | |
HMSA
| Professional | $190.55 | $190.55 | $190.55 | |
Kaiser Permanente
| Professional | $194.98 | $234.42 | $295.12 | |
United
| Professional | $186.21 | $194.98 | $218.78 |