| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,438.76 | $1,630.59 | $2,092.73 | |
Cigna
| Professional | $2,092.73 | $2,092.73 | $2,092.73 | |
HMSA
| Professional | $1,725.69 | $2,069.19 | $2,288.94 | |
Kaiser Permanente
| Professional | $1,918.35 | $2,092.73 | $2,441.53 | |
United
| Professional | $1,169.80 | $1,754.70 | $2,092.73 |