| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.16 | $257.45 | $330.42 | |
Aetna
| Professional | $245.44 | $245.44 | $245.44 | |
Cigna
| Professional | $330.42 | $330.42 | $330.42 | |
HMSA
| Professional | $259.49 | $311.14 | $344.19 | |
Kaiser Permanente
| Professional | $302.89 | $330.42 | $385.49 | |
United
| Professional | $275.35 | $330.42 | $413.03 |