| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $495.58 | $577.57 | $738.73 | |
Cigna
| Professional | $814.29 | $814.29 | $814.29 | |
HMSA
| Professional | $652.42 | $750.68 | $882.71 | |
Kaiser Permanente
| Professional | $671.95 | $733.03 | $855.20 | |
United
| Professional | $485.61 | $884.06 | $1,029.38 |