| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,265.80 | $5,128.61 | $6,309.57 | |
Aetna
| Professional | $2,818.38 | $4,466.84 | $6,606.93 | |
Cigna
| Professional | $6,309.57 | $6,309.57 | $6,309.57 | |
HMSA
| Professional | $5,248.07 | $5,495.41 | $6,456.54 | |
Kaiser Permanente
| Professional | $5,754.40 | $6,309.57 | $7,762.47 | |
United
| Professional | $2,630.27 | $5,248.07 | $7,762.47 |