| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $457.09 | $549.54 | |
Aetna
| Professional | $251.19 | $354.81 | $446.68 | |
Cigna
| Professional | $549.54 | $549.54 | $549.54 | |
HMSA
| Professional | $457.09 | $537.03 | $575.44 | |
Kaiser Permanente
| Professional | $457.09 | $549.54 | $691.83 | |
United
| Professional | $194.98 | $457.09 | $691.83 |