| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.44 | $301.97 | $387.55 | |
Aetna
| Professional | $190.19 | $190.19 | $190.19 | |
Cigna
| Professional | $387.55 | $387.55 | $387.55 | |
HMSA
| Professional | $525.11 | $623.34 | $766.15 | |
Kaiser Permanente
| Professional | $355.26 | $387.55 | $452.14 | |
United
| Professional | $358.85 | $387.55 | $484.44 |