| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $316.23 | $389.05 | |
Aetna
| Professional | $194.98 | $251.19 | $316.23 | |
Cigna
| Professional | $389.05 | $389.05 | $389.05 | |
HMSA
| Professional | $562.34 | $724.44 | $794.33 | |
Kaiser Permanente
| Professional | $323.59 | $389.05 | $489.78 | |
United
| Professional | $134.90 | $354.81 | $489.78 |