| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.62 | $161.62 | $163.24 | |
Cigna
| Professional | $161.62 | $175.25 | $206.17 | |
HMSA
| Professional | $228.51 | $262.66 | $302.06 | |
Kaiser Permanente
| Professional | $177.79 | $193.95 | $226.27 | |
United
| Professional | $161.62 | $185.55 | $242.43 |