| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $693.54 | $786.01 | $1,008.78 | |
Cigna
| Professional | $1,008.78 | $1,008.78 | $1,008.78 | |
HMSA
| Professional | $748.22 | $880.26 | $1,050.81 | |
Kaiser Permanente
| Professional | $840.65 | $1,008.78 | $1,260.98 | |
United
| Professional | $353.07 | $1,008.78 | $1,260.98 |