| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,235.71 | $2,533.80 | $3,251.94 | |
Aetna
| Professional | $1,436.27 | $1,436.27 | $1,436.27 | |
Cigna
| Professional | $3,251.94 | $3,251.94 | $3,251.94 | |
HMSA
| Professional | $2,709.95 | $2,709.95 | $2,837.64 | |
Kaiser Permanente
| Professional | $2,980.95 | $3,251.94 | $3,793.93 | |
United
| Professional | $3,251.94 | $3,251.94 | $4,064.93 |