| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,813.64 | $2,055.46 | $2,638.02 | |
Aetna
| Professional | $1,165.13 | $1,165.13 | $1,165.13 | |
Cigna
| Professional | $2,638.02 | $2,638.02 | $2,638.02 | |
HMSA
| Professional | $518.80 | $518.80 | $518.80 | |
Kaiser Permanente
| Professional | $2,418.19 | $2,638.02 | $3,077.69 | |
United
| Professional | $2,198.35 | $2,638.02 | $3,297.53 |