| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $147.91 | $173.78 | |
Cigna
| Professional | $87.10 | $87.10 | $281.84 | |
HMSA
| Professional | $134.90 | $141.25 | $141.25 | |
Kaiser Permanente
| Professional | $407.38 | $407.38 | $407.38 | |
United
| Professional | $70.79 | $112.20 | $316.23 |