| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.88 | $174.10 | $253.70 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
HMSA
| Professional | $279.33 | $292.49 | $292.49 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $229.22 | $269.67 | $269.67 |