| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,124.09 | $2,407.30 | $3,089.58 | |
Aetna
| Professional | $1,364.56 | $1,364.56 | $1,364.56 | |
Cigna
| Professional | $3,089.58 | $3,089.58 | $3,089.58 | |
HMSA
| Professional | $2,574.65 | $2,695.97 | $3,218.31 | |
Kaiser Permanente
| Professional | $2,832.12 | $3,089.58 | $3,604.51 | |
United
| Professional | $2,574.65 | $3,089.58 | $3,861.98 |