| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $158.49 | $204.17 | |
Cigna
| Professional | $91.20 | $91.20 | $269.15 | |
HMSA
| Professional | $134.90 | $141.25 | $141.25 | |
Kaiser Permanente
| Professional | $389.05 | $389.05 | $389.05 | |
United
| Professional | $74.13 | $117.49 | $302.00 |