| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.54 | $549.54 | $602.56 | |
Cigna
| Professional | $263.03 | $549.54 | $549.54 | |
HMSA
| Professional | $338.84 | $371.54 | $467.74 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $125.89 | $245.47 | $1,258.93 |