| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $1,288.25 | $1,548.82 | |
Aetna
| Professional | $602.56 | $1,047.13 | $1,412.54 | |
Cigna
| Professional | $1,548.82 | $1,548.82 | $1,548.82 | |
HMSA
| Professional | $1,380.38 | $1,621.81 | $1,698.24 | |
Kaiser Permanente
| Professional | $1,445.44 | $1,548.82 | $1,949.84 | |
United
| Professional | $562.34 | $1,122.02 | $1,659.59 |