| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.84 | $588.84 | $645.65 | |
Cigna
| Professional | $588.84 | $588.84 | $588.84 | |
HMSA
| Professional | $660.69 | $660.69 | $660.69 | |
Kaiser Permanente
| Professional | $645.65 | $707.95 | $831.76 | |
United
| Professional | $588.84 | $691.83 | $891.25 |