| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $575.44 | $776.25 | |
Cigna
| Professional | $812.83 | $812.83 | $912.01 | |
HMSA
| Professional | $691.83 | $776.25 | $912.01 | |
Kaiser Permanente
| Professional | $676.08 | $741.31 | $912.01 | |
United
| Professional | $512.86 | $812.83 | $1,023.29 |