| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $831.76 | $1,000.00 | |
Aetna
| Professional | $457.09 | $660.69 | $812.83 | |
Cigna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
HMSA
| Professional | $831.76 | $1,000.00 | $1,047.13 | |
Kaiser Permanente
| Professional | $831.76 | $1,000.00 | $1,258.93 | |
United
| Professional | $354.81 | $831.76 | $1,258.93 |