| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.09 | $476.10 | $611.04 | |
Cigna
| Professional | $611.04 | $611.04 | $611.04 | |
HMSA
| Professional | $453.21 | $533.19 | $636.50 | |
Kaiser Permanente
| Professional | $509.20 | $611.04 | $763.80 | |
United
| Professional | $509.20 | $611.04 | $611.04 |