| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $154.88 | $190.55 | |
Cigna
| Professional | $91.20 | $91.20 | $251.19 | |
HMSA
| Professional | $223.87 | $234.42 | $234.42 | |
Kaiser Permanente
| Professional | $363.08 | $363.08 | $363.08 | |
United
| Professional | $74.13 | $117.49 | $281.84 |