| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $691.83 | $691.83 | $1,000.00 | |
Cigna
| Professional | $239.88 | $239.88 | $616.60 | |
HMSA
| Professional | $660.69 | $691.83 | $691.83 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $575.44 | $616.60 | $676.08 |