| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.13 | $677.88 | $870.00 | |
Aetna
| Professional | $384.25 | $384.25 | $384.25 | |
Cigna
| Professional | $870.00 | $870.00 | $870.00 | |
HMSA
| Professional | $683.24 | $819.25 | $906.25 | |
Kaiser Permanente
| Professional | $797.50 | $870.00 | $1,015.00 | |
United
| Professional | $725.00 | $870.00 | $1,087.50 |