| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.51 | $151.81 | $402.44 | |
Cigna
| Professional | $306.87 | $306.87 | $306.87 | |
HMSA
| Professional | $359.56 | $413.70 | $486.46 | |
Kaiser Permanente
| Professional | $370.30 | $403.97 | $471.30 | |
United
| Professional | $194.12 | $379.70 | $487.20 |