| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.71 | $291.30 | $1,108.00 | |
Cigna
| Professional | $198.79 | $252.85 | $309.86 | |
HMSA
| Professional | $275.20 | $326.24 | $407.80 | |
Kaiser Permanente
| Professional | $247.89 | $297.47 | $347.05 | |
United
| Professional | $254.23 | $309.86 | $451.20 |