| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.36 | $461.36 | $465.97 | |
Cigna
| Professional | $461.36 | $625.23 | $625.23 | |
HMSA
| Professional | $692.99 | $796.54 | $897.63 | |
Kaiser Permanente
| Professional | $507.49 | $553.63 | $645.90 | |
United
| Professional | $461.36 | $562.71 | $692.04 |