| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.13 | $380.95 | $488.92 | |
Aetna
| Professional | $130.66 | $130.66 | $130.66 | |
Cigna
| Professional | $488.92 | $488.92 | $488.92 | |
HMSA
| Professional | $403.16 | $447.96 | $534.75 | |
Kaiser Permanente
| Professional | $448.17 | $488.92 | $570.40 | |
United
| Professional | $246.52 | $369.78 | $488.92 |