| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $257.04 | $302.00 | |
Cigna
| Professional | $263.03 | $263.03 | $295.12 | |
HMSA
| Professional | $245.47 | $245.47 | $245.47 | |
Kaiser Permanente
| Professional | $263.03 | $309.03 | $389.05 | |
United
| Professional | $251.19 | $263.03 | $295.12 |