| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $217.15 | $323.70 | $349.75 | |
Cigna
| Professional | $45.43 | $270.64 | $592.28 | |
HMSA
| Professional | $60.92 | $725.85 | $760.05 | |
Kaiser Permanente
| Professional | $34.34 | $34.34 | $670.00 | |
United
| Professional | $17.50 | $24.26 | $66.89 |