| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $537.03 | $645.65 | |
Aetna
| Professional | $295.12 | $416.87 | $524.81 | |
Cigna
| Professional | $645.65 | $645.65 | $645.65 | |
HMSA
| Professional | $537.03 | $676.08 | $676.08 | |
Kaiser Permanente
| Professional | $537.03 | $645.65 | $812.83 | |
United
| Professional | $229.09 | $537.03 | $812.83 |