| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $407.38 | $426.58 | |
Cigna
| Professional | $173.78 | $173.78 | $173.78 | |
HMSA
| Professional | $173.78 | $181.97 | $181.97 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $147.91 | $158.49 | $173.78 |