| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $489.78 | $537.03 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
HMSA
| Professional | $467.74 | $467.74 | $467.74 | |
Kaiser Permanente
| Professional | $537.03 | $588.84 | $691.83 | |
United
| Professional | $549.54 | $588.84 | $741.31 |