| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $460.48 | $477.75 | $489.26 | |
Cigna
| Professional | $508.43 | $508.43 | $554.12 | |
HMSA
| Professional | $524.95 | $524.95 | $524.95 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $503.34 | $575.60 | $863.40 |