| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $617.41 | $699.74 | $898.07 | |
Aetna
| Professional | $396.65 | $396.65 | $396.65 | |
Cigna
| Professional | $898.07 | $898.07 | $898.07 | |
HMSA
| Professional | $705.29 | $783.65 | $935.49 | |
Kaiser Permanente
| Professional | $823.23 | $898.07 | $1,047.75 | |
United
| Professional | $748.39 | $898.07 | $1,122.58 |