| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.18 | $182.18 | $184.00 | |
Cigna
| Professional | $163.41 | $185.82 | $218.62 | |
HMSA
| Professional | $242.30 | $278.51 | $320.29 | |
Kaiser Permanente
| Professional | $200.40 | $218.62 | $255.05 | |
United
| Professional | $182.18 | $196.76 | $273.27 |