| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $318.00 | $318.00 | $321.18 | |
Cigna
| Professional | $318.00 | $445.04 | $445.04 | |
HMSA
| Professional | $460.24 | $541.46 | $622.67 | |
Kaiser Permanente
| Professional | $349.80 | $381.60 | $445.20 | |
United
| Professional | $318.00 | $400.53 | $477.00 |