| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.85 | $693.43 | $889.97 | |
Aetna
| Professional | $393.07 | $393.07 | $393.07 | |
HMSA
| Professional | $698.93 | $838.05 | $927.05 | |
Kaiser Permanente
| Professional | $815.80 | $889.97 | $1,038.30 | |
United
| Professional | $741.64 | $889.97 | $1,112.46 |