| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $120.23 | $154.88 | |
Cigna
| Professional | $70.79 | $70.79 | $204.17 | |
HMSA
| Professional | $134.90 | $141.25 | $141.25 | |
Kaiser Permanente
| Professional | $295.12 | $295.12 | $295.12 | |
United
| Professional | $57.54 | $91.20 | $229.09 |