| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $602.56 | $616.60 | |
Cigna
| Professional | $616.60 | $616.60 | $912.01 | |
HMSA
| Professional | $89.13 | $89.13 | $93.33 | |
Kaiser Permanente
| Professional | $676.08 | $812.83 | $954.99 | |
United
| Professional | $676.08 | $676.08 | $1,023.29 |