| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,517.04 | $5,119.31 | $6,570.24 | |
Aetna
| Professional | $2,901.86 | $2,901.86 | $2,901.86 | |
Cigna
| Professional | $6,570.24 | $6,570.24 | $6,570.24 | |
HMSA
| Professional | $5,475.20 | $5,475.20 | $5,733.19 | |
Kaiser Permanente
| Professional | $6,022.72 | $6,570.24 | $7,665.28 | |
United
| Professional | $5,475.20 | $6,570.24 | $8,212.79 |