| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $354.81 | $426.58 | |
Aetna
| Professional | $3.98 | $275.42 | $346.74 | |
Cigna
| Professional | $426.58 | $426.58 | $426.58 | |
HMSA
| Professional | $354.81 | $426.58 | $446.68 | |
Kaiser Permanente
| Professional | $354.81 | $426.58 | $537.03 | |
United
| Professional | $151.36 | $354.81 | $537.03 |