| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $316.23 | $407.38 | |
Cigna
| Professional | $380.19 | $380.19 | $537.03 | |
HMSA
| Professional | $389.05 | $426.58 | $467.74 | |
Kaiser Permanente
| Professional | $380.19 | $478.63 | $588.84 | |
United
| Professional | $269.15 | $407.38 | $616.60 |