| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,075.76 | $1,219.19 | $1,564.74 | |
Cigna
| Professional | $1,564.74 | $1,564.74 | $1,564.74 | |
HMSA
| Professional | $1,290.29 | $1,547.14 | $1,711.44 | |
Kaiser Permanente
| Professional | $1,434.35 | $1,564.74 | $1,825.53 | |
United
| Professional | $1,117.98 | $1,564.74 | $1,676.97 |