| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $449.41 | $449.41 | $453.90 | |
Cigna
| Professional | $449.41 | $736.32 | $736.32 | |
HMSA
| Professional | $779.40 | $895.86 | $1,030.24 | |
Kaiser Permanente
| Professional | $494.35 | $539.29 | $629.16 | |
United
| Professional | $449.41 | $674.12 | $736.32 |