| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $597.13 | $597.13 | $597.13 | |
Cigna
| Professional | $109.54 | $121.19 | $133.06 | |
HMSA
| Professional | $136.55 | $2,537.40 | $2,656.96 | |
Kaiser Permanente
| Professional | $138.27 | $138.27 | $138.27 | |
United
| Professional | $70.06 | $138.27 | $165.92 |