| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.21 | $420.21 | $557.30 | |
Cigna
| Professional | $618.07 | $618.07 | $618.07 | |
HMSA
| Professional | $489.21 | $562.88 | $661.87 | |
Kaiser Permanente
| Professional | $503.83 | $549.64 | $641.24 | |
United
| Professional | $253.10 | $662.88 | $856.44 |