| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $676.08 | $812.83 | |
Aetna
| Professional | $371.54 | $575.44 | $851.14 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
HMSA
| Professional | $676.08 | $794.33 | $851.14 | |
Kaiser Permanente
| Professional | $741.31 | $812.83 | $1,023.29 | |
United
| Professional | $338.84 | $676.08 | $1,023.29 |