| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $1,513.56 | $1,862.09 | |
Aetna
| Professional | $831.76 | $1,318.26 | $1,949.84 | |
Cigna
| Professional | $1,862.09 | $1,862.09 | $1,862.09 | |
HMSA
| Professional | $363.08 | $363.08 | $363.08 | |
Kaiser Permanente
| Professional | $1,698.24 | $1,862.09 | $2,290.87 | |
United
| Professional | $776.25 | $1,548.82 | $2,290.87 |