| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $467.74 | $562.34 | |
Aetna
| Professional | $257.04 | $398.11 | $588.84 | |
Cigna
| Professional | $562.34 | $562.34 | $562.34 | |
HMSA
| Professional | $467.74 | $489.78 | $588.84 | |
Kaiser Permanente
| Professional | $512.86 | $562.34 | $707.95 | |
United
| Professional | $234.42 | $467.74 | $707.95 |