| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,162.28 | $3,162.28 | $3,162.28 | |
Cigna
| Professional | $5,888.44 | $5,888.44 | $5,888.44 | |
HMSA
| Professional | $4,365.16 | $4,897.79 | $5,128.61 | |
Kaiser Permanente
| Professional | $5,495.41 | $5,888.44 | $6,918.31 | |
United
| Professional | $1,258.93 | $1,258.93 | $5,888.44 |