| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,608.75 | $1,823.25 | $2,340.00 | |
Cigna
| Professional | $2,340.00 | $2,340.00 | $2,340.00 | |
HMSA
| Professional | $1,837.69 | $2,203.50 | $2,437.50 | |
Kaiser Permanente
| Professional | $2,145.00 | $2,340.00 | $2,730.00 | |
United
| Professional | $1,950.00 | $2,340.00 | $2,632.50 |