| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.38 | $264.49 | $339.46 | |
Aetna
| Professional | $149.93 | $149.93 | $149.93 | |
Cigna
| Professional | $339.46 | $339.46 | $339.46 | |
HMSA
| Professional | $282.88 | $296.20 | $353.60 | |
Kaiser Permanente
| Professional | $311.17 | $339.46 | $396.03 | |
United
| Professional | $282.88 | $339.46 | $424.32 |