| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $776.25 | $954.99 | |
Aetna
| Professional | $426.58 | $676.08 | $1,000.00 | |
Cigna
| Professional | $954.99 | $954.99 | $954.99 | |
HMSA
| Professional | $186.21 | $186.21 | $186.21 | |
Kaiser Permanente
| Professional | $870.96 | $954.99 | $1,174.90 | |
United
| Professional | $398.11 | $794.33 | $1,174.90 |