| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.95 | $707.95 | $1,348.96 | |
Cigna
| Professional | $1,288.25 | $1,288.25 | $1,548.82 | |
HMSA
| Professional | $5.01 | $5.25 | $5.25 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 |