| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,370.32 | $6,606.93 | |
Aetna
| Professional | $2,951.21 | $4,265.80 | $6,918.31 | |
Cigna
| Professional | $6,606.93 | $6,606.93 | $6,606.93 | |
HMSA
| Professional | $5,495.41 | $5,495.41 | $5,754.40 | |
Kaiser Permanente
| Professional | $6,025.60 | $6,606.93 | $8,128.31 | |
United
| Professional | $2,754.23 | $5,495.41 | $8,128.31 |