| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $426.58 | $512.86 | |
Aetna
| Professional | $234.42 | $363.08 | $537.03 | |
Cigna
| Professional | $512.86 | $512.86 | $512.86 | |
HMSA
| Professional | $426.58 | $501.19 | $537.03 | |
Kaiser Permanente
| Professional | $467.74 | $512.86 | $645.65 | |
United
| Professional | $213.80 | $426.58 | $645.65 |