| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.04 | $334.38 | $429.16 | |
Cigna
| Professional | $429.16 | $429.16 | $429.16 | |
HMSA
| Professional | $318.31 | $374.48 | $447.04 | |
Kaiser Permanente
| Professional | $357.63 | $429.16 | $536.45 | |
United
| Professional | $150.19 | $429.16 | $536.45 |