| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $303.80 | $303.80 | $303.80 | |
Cigna
| Professional | $311.13 | $311.13 | $451.62 | |
HMSA
| Professional | $316.97 | $316.97 | $331.91 | |
Kaiser Permanente
| Professional | $358.16 | $417.28 | $486.82 | |
United
| Professional | $305.02 | $451.62 | $457.53 |