| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $79.43 | $87.10 | |
Cigna
| Professional | $79.43 | $79.43 | $741.31 | |
HMSA
| Professional | $446.68 | $524.81 | $575.44 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $125.89 | $190.55 | $676.08 |