| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $2,570.40 | $3,090.30 | |
Aetna
| Professional | $1,412.54 | $2,238.72 | $3,235.94 | |
Cigna
| Professional | $3,090.30 | $3,090.30 | $3,090.30 | |
HMSA
| Professional | $2,570.40 | $2,691.53 | $3,235.94 | |
Kaiser Permanente
| Professional | $2,818.38 | $3,090.30 | $3,890.45 | |
United
| Professional | $1,288.25 | $2,570.40 | $3,890.45 |