| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $379.38 | $429.97 | $551.83 | |
Cigna
| Professional | $551.83 | $551.83 | $551.83 | |
HMSA
| Professional | $409.30 | $481.53 | $574.83 | |
Kaiser Permanente
| Professional | $459.86 | $551.83 | $689.79 | |
United
| Professional | $193.14 | $551.83 | $689.79 |