| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $478.63 | $588.84 | |
Aetna
| Professional | $263.03 | $416.87 | $616.60 | |
Cigna
| Professional | $588.84 | $588.84 | $588.84 | |
HMSA
| Professional | $489.78 | $489.78 | $602.56 | |
Kaiser Permanente
| Professional | $537.03 | $588.84 | $724.44 | |
United
| Professional | $245.47 | $489.78 | $724.44 |