| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $349.02 | $349.02 | $352.51 | |
Cigna
| Professional | $276.95 | $349.01 | $349.01 | |
HMSA
| Professional | $482.47 | $554.55 | $637.74 | |
Kaiser Permanente
| Professional | $383.92 | $418.82 | $488.62 | |
United
| Professional | $196.18 | $349.02 | $650.75 |