| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $660.69 | $912.01 | |
Cigna
| Professional | $47.86 | $758.58 | $1,174.90 | |
HMSA
| Professional | $41.69 | $50.12 | $1,174.90 | |
Kaiser Permanente
| Professional | $33.88 | $1,071.52 | $1,412.54 | |
United
| Professional | $22.91 | $616.60 | $1,122.02 |