| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.60 | $433.62 | $556.51 | |
Cigna
| Professional | $556.51 | $556.51 | $556.51 | |
HMSA
| Professional | $412.77 | $485.61 | $579.70 | |
Kaiser Permanente
| Professional | $463.76 | $556.51 | $695.64 | |
United
| Professional | $194.78 | $556.51 | $695.64 |