| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $245.47 | $288.40 | |
Cigna
| Professional | $245.47 | $245.47 | $288.40 | |
HMSA
| Professional | $245.47 | $245.47 | $245.47 | |
Kaiser Permanente
| Professional | $245.47 | $295.12 | $371.54 | |
United
| Professional | $245.47 | $257.04 | $288.40 |