| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $2,691.53 | $3,235.94 | |
Aetna
| Professional | $1,479.11 | $2,089.30 | $3,388.44 | |
Cigna
| Professional | $3,235.94 | $3,235.94 | $3,235.94 | |
HMSA
| Professional | $2,691.53 | $2,691.53 | $2,818.38 | |
Kaiser Permanente
| Professional | $2,951.21 | $3,235.94 | $4,073.80 | |
United
| Professional | $1,348.96 | $2,691.53 | $4,073.80 |