| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.84 | $389.69 | $500.14 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
Cigna
| Professional | $500.14 | $500.14 | $500.14 | |
HMSA
| Professional | $392.78 | $470.96 | $520.98 | |
Kaiser Permanente
| Professional | $458.46 | $500.14 | $583.49 | |
United
| Professional | $439.90 | $500.14 | $715.29 |