| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.54 | $549.54 | $616.60 | |
Cigna
| Professional | $125.89 | $549.54 | $549.54 | |
HMSA
| Professional | $1,202.26 | $1,318.26 | $1,659.59 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $125.89 | $131.83 | $2,691.53 |