| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $407.38 | $489.78 | |
Aetna
| Professional | $223.87 | $346.74 | $512.86 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
HMSA
| Professional | $407.38 | $478.63 | $512.86 | |
Kaiser Permanente
| Professional | $446.68 | $489.78 | $616.60 | |
United
| Professional | $204.17 | $407.38 | $616.60 |