| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $158.49 | $234.42 | |
Cigna
| Professional | $93.33 | $213.80 | $288.40 | |
HMSA
| Professional | $234.42 | $234.42 | $245.47 | |
Kaiser Permanente
| Professional | $331.13 | $331.13 | $331.13 | |
United
| Professional | $64.57 | $114.82 | $288.40 |