| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $823.80 | $860.07 | $1,140.08 | |
Cigna
| Professional | $1,267.71 | $1,267.71 | $1,267.71 | |
HMSA
| Professional | $1,141.84 | $1,313.80 | $1,544.85 | |
Kaiser Permanente
| Professional | $1,175.99 | $1,282.90 | $1,496.71 | |
United
| Professional | $485.61 | $1,547.21 | $1,711.23 |