| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $660.69 | $724.44 | |
Cigna
| Professional | $660.69 | $660.69 | $1,023.29 | |
HMSA
| Professional | $831.76 | $977.24 | $1,071.52 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $125.89 | $645.65 | $1,000.00 |