| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $199.53 | $354.81 | |
Cigna
| Professional | $309.03 | $309.03 | $309.03 | |
HMSA
| Professional | $380.19 | $426.58 | $501.19 | |
Kaiser Permanente
| Professional | $371.54 | $407.38 | $501.19 | |
United
| Professional | $147.91 | $208.93 | $489.78 |