| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.49 | $399.49 | $512.71 | |
Aetna
| Professional | $226.45 | $226.45 | $226.45 | |
Cigna
| Professional | $512.71 | $512.71 | $512.71 | |
HMSA
| Professional | $402.65 | $482.80 | $534.08 | |
Kaiser Permanente
| Professional | $469.99 | $512.71 | $598.16 | |
United
| Professional | $427.26 | $512.71 | $640.89 |