| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $253.18 | $320.39 | $320.39 | |
Cigna
| Professional | $222.20 | $222.20 | $222.20 | |
HMSA
| Professional | $227.00 | $237.70 | $237.70 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $188.87 | $222.20 | $222.20 |