| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.49 | $145.49 | $146.94 | |
Cigna
| Professional | $119.30 | $140.36 | $145.49 | |
HMSA
| Professional | $148.56 | $170.76 | $196.37 | |
Kaiser Permanente
| Professional | $160.04 | $174.58 | $203.68 | |
United
| Professional | $119.30 | $145.49 | $218.24 |