| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $416.87 | $501.19 | |
Aetna
| Professional | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $501.19 | $501.19 | $501.19 | |
HMSA
| Professional | $416.87 | $489.78 | $524.81 | |
Kaiser Permanente
| Professional | $457.09 | $501.19 | $630.96 | |
United
| Professional | $199.53 | $436.52 | $707.95 |