| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.14 | $492.03 | $631.48 | |
Cigna
| Professional | $631.48 | $631.48 | $631.48 | |
HMSA
| Professional | $468.38 | $551.03 | $657.79 | |
Kaiser Permanente
| Professional | $526.23 | $631.48 | $789.35 | |
United
| Professional | $221.02 | $631.48 | $789.35 |