| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,253.22 | $1,420.32 | $1,822.87 | |
Aetna
| Professional | $805.10 | $805.10 | $805.10 | |
Cigna
| Professional | $1,822.87 | $1,822.87 | $1,822.87 | |
HMSA
| Professional | $1,519.06 | $1,590.64 | $1,898.83 | |
Kaiser Permanente
| Professional | $1,670.97 | $1,822.87 | $2,126.67 | |
United
| Professional | $1,519.06 | $1,822.87 | $2,278.59 |