| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $158.49 | $162.18 | |
Cigna
| Professional | $120.23 | $162.18 | $169.82 | |
HMSA
| Professional | $158.49 | $190.55 | $218.78 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $120.23 | $125.89 | $165.96 |