| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $891.25 | $891.25 | $891.25 | |
Cigna
| Professional | $851.14 | $851.14 | $851.14 | |
HMSA
| Professional | $630.96 | $707.95 | $741.31 | |
Kaiser Permanente
| Professional | $776.25 | $851.14 | $1,000.00 | |
United
| Professional | $354.81 | $354.81 | $1,071.52 |