| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.73 | $256.97 | $329.80 | |
Aetna
| Professional | $145.66 | $145.66 | $145.66 | |
Cigna
| Professional | $329.80 | $329.80 | $329.80 | |
HMSA
| Professional | $274.83 | $287.77 | $343.54 | |
Kaiser Permanente
| Professional | $302.31 | $329.80 | $384.76 | |
United
| Professional | $274.83 | $329.80 | $412.25 |