| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.44 | $326.89 | $419.54 | |
Aetna
| Professional | $185.30 | $185.30 | $185.30 | |
HMSA
| Professional | $352.80 | $416.30 | $485.10 | |
Kaiser Permanente
| Professional | $384.58 | $419.54 | $489.47 | |
United
| Professional | $349.62 | $524.42 | $524.42 |