| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $407.38 | $489.78 | |
Aetna
| Professional | $245.47 | $354.81 | $575.44 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
HMSA
| Professional | $562.34 | $724.44 | $794.33 | |
Kaiser Permanente
| Professional | $446.68 | $489.78 | $616.60 | |
United
| Professional | $229.09 | $457.09 | $616.60 |