| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $512.86 | $562.34 | |
Cigna
| Professional | $281.84 | $281.84 | $676.08 | |
HMSA
| Professional | $398.11 | $416.87 | $416.87 | |
Kaiser Permanente
| Professional | $977.24 | $977.24 | $977.24 | |
United
| Professional | $229.09 | $346.74 | $758.58 |