| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $329.41 | $384.06 | $485.64 | |
Cigna
| Professional | $523.28 | $523.28 | $523.28 | |
HMSA
| Professional | $467.66 | $538.09 | $632.72 | |
Kaiser Permanente
| Professional | $481.65 | $525.42 | $613.00 | |
United
| Professional | $253.10 | $633.69 | $685.15 |