| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $396.25 | $507.29 | $1,569.00 | |
Cigna
| Professional | $633.48 | $633.48 | $633.48 | |
HMSA
| Professional | $539.67 | $620.95 | $730.16 | |
Kaiser Permanente
| Professional | $555.82 | $606.35 | $707.41 | |
United
| Professional | $253.10 | $648.89 | $823.50 |