| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.13 | $380.95 | $488.92 | |
Aetna
| Professional | $215.94 | $215.94 | $215.94 | |
Cigna
| Professional | $488.92 | $488.92 | $488.92 | |
HMSA
| Professional | $383.97 | $460.40 | $509.29 | |
Kaiser Permanente
| Professional | $448.17 | $488.92 | $570.40 | |
United
| Professional | $407.43 | $488.92 | $611.15 |