| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.90 | $131.90 | $133.22 | |
Cigna
| Professional | $131.90 | $173.23 | $173.23 | |
HMSA
| Professional | $198.63 | $220.70 | $242.39 | |
Kaiser Permanente
| Professional | $145.09 | $158.28 | $184.66 | |
United
| Professional | $131.90 | $155.91 | $197.85 |