| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.19 | $302.00 | $309.03 | |
Cigna
| Professional | $309.03 | $309.03 | $467.74 | |
HMSA
| Professional | $89.13 | $89.13 | $93.33 | |
Kaiser Permanente
| Professional | $346.74 | $416.87 | $489.78 | |
United
| Professional | $302.00 | $302.00 | $467.74 |