| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $158.49 | $234.42 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
HMSA
| Professional | $239.88 | $251.19 | $251.19 | |
Kaiser Permanente
| Professional | $263.03 | $288.40 | $331.13 | |
United
| Professional | $83.18 | $223.87 | $288.40 |