| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,268.04 | $1,437.11 | $1,844.42 | |
Aetna
| Professional | $814.62 | $814.62 | $814.62 | |
Cigna
| Professional | $1,844.42 | $1,844.42 | $1,844.42 | |
HMSA
| Professional | $362.74 | $362.74 | $362.74 | |
Kaiser Permanente
| Professional | $1,690.72 | $1,844.42 | $2,151.83 | |
United
| Professional | $1,537.02 | $1,844.42 | $2,305.53 |