| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $915.09 | $915.09 | $924.24 | |
Cigna
| Professional | $497.48 | $585.27 | $915.09 | |
HMSA
| Professional | $671.06 | $745.62 | $818.88 | |
Kaiser Permanente
| Professional | $1,006.60 | $1,098.09 | $1,281.11 | |
United
| Professional | $497.48 | $915.09 | $1,372.64 |