| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $687.10 | $764.40 | $1,052.08 | |
Cigna
| Professional | $711.04 | $711.04 | $711.04 | |
HMSA
| Professional | $692.33 | $724.95 | $724.95 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $604.38 | $711.04 | $711.04 |