| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $83.18 | $128.82 | |
Cigna
| Professional | $60.26 | $138.04 | $186.21 | |
HMSA
| Professional | $151.36 | $151.36 | $158.49 | |
Kaiser Permanente
| Professional | $208.93 | $208.93 | $208.93 | |
United
| Professional | $41.69 | $74.13 | $302.00 |