| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.81 | $332.98 | $427.36 | |
Aetna
| Professional | $188.75 | $188.75 | $188.75 | |
Cigna
| Professional | $427.36 | $427.36 | $427.36 | |
HMSA
| Professional | $335.62 | $402.43 | $445.16 | |
Kaiser Permanente
| Professional | $391.74 | $427.36 | $498.58 | |
United
| Professional | $356.13 | $427.36 | $534.20 |