| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $177.83 | $213.80 | |
Cigna
| Professional | $104.71 | $104.71 | $223.87 | |
HMSA
| Professional | $134.90 | $141.25 | $141.25 | |
Kaiser Permanente
| Professional | $323.59 | $323.59 | $323.59 | |
United
| Professional | $85.11 | $134.90 | $281.84 |