| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $134.90 | $173.78 | |
Cigna
| Professional | $138.04 | $138.04 | $158.49 | |
HMSA
| Professional | $131.83 | $131.83 | $131.83 | |
Kaiser Permanente
| Professional | $138.04 | $165.96 | $204.17 | |
United
| Professional | $134.90 | $138.04 | $158.49 |