| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.32 | $505.83 | $649.19 | |
Cigna
| Professional | $649.19 | $649.19 | $649.19 | |
HMSA
| Professional | $509.83 | $611.32 | $676.24 | |
Kaiser Permanente
| Professional | $540.99 | $649.19 | $811.49 | |
United
| Professional | $227.22 | $649.19 | $811.49 |