| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $303.66 | $303.66 | $303.66 | |
Cigna
| Professional | $310.97 | $310.97 | $469.21 | |
HMSA
| Professional | $90.00 | $90.00 | $94.24 | |
Kaiser Permanente
| Professional | $382.32 | $417.07 | $434.45 | |
United
| Professional | $304.88 | $457.32 | $469.21 |