| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.37 | $365.35 | $468.90 | |
Cigna
| Professional | $468.90 | $468.90 | $468.90 | |
HMSA
| Professional | $347.79 | $409.16 | $488.44 | |
Kaiser Permanente
| Professional | $390.75 | $468.90 | $586.13 | |
United
| Professional | $164.12 | $468.90 | $586.13 |