| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $245.47 | $302.00 | |
Cigna
| Professional | $707.95 | $707.95 | $707.95 | |
HMSA
| Professional | $870.96 | $912.01 | $912.01 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $588.84 | $630.96 | $707.95 |