| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.08 | $254.08 | $254.08 | |
Cigna
| Professional | $260.20 | $260.20 | $392.59 | |
HMSA
| Professional | $20.00 | $20.00 | $20.94 | |
Kaiser Permanente
| Professional | $319.89 | $348.97 | $363.51 | |
United
| Professional | $255.10 | $382.65 | $392.59 |