| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $656.12 | $656.12 | $662.69 | |
Cigna
| Professional | $219.29 | $656.12 | $656.12 | |
HMSA
| Professional | $773.78 | $889.40 | $1,022.81 | |
Kaiser Permanente
| Professional | $721.74 | $787.35 | $918.57 | |
United
| Professional | $155.33 | $656.12 | $1,608.09 |