| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.63 | $229.63 | $497.70 | |
Cigna
| Professional | $711.04 | $711.04 | $711.04 | |
HMSA
| Professional | $645.33 | $675.74 | $675.74 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $604.38 | $711.04 | $711.04 |