| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $489.78 | $512.86 | |
Cigna
| Professional | $354.81 | $489.78 | $489.78 | |
HMSA
| Professional | $457.09 | $524.81 | $575.44 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $125.89 | $354.81 | $977.24 |