| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.50 | $355.30 | $456.00 | |
Cigna
| Professional | $456.00 | $456.00 | $456.00 | |
HMSA
| Professional | $358.12 | $397.91 | $475.00 | |
Kaiser Permanente
| Professional | $418.00 | $456.00 | $532.00 | |
United
| Professional | $380.00 | $456.00 | $570.00 |