| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $173.78 | $173.78 | |
Cigna
| Professional | $125.89 | $147.91 | $177.83 | |
HMSA
| Professional | $125.89 | $131.83 | $131.83 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $107.15 | $114.82 | $125.89 |