| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $386.37 | $437.89 | $562.00 | |
Aetna
| Professional | $248.21 | $248.21 | $248.21 | |
Cigna
| Professional | $562.00 | $562.00 | $562.00 | |
HMSA
| Professional | $468.33 | $490.40 | $585.41 | |
Kaiser Permanente
| Professional | $515.16 | $562.00 | $655.66 | |
United
| Professional | $468.33 | $562.00 | $702.50 |