| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $295.12 | $363.08 | |
Aetna
| Professional | $162.18 | $257.04 | $380.19 | |
Cigna
| Professional | $363.08 | $363.08 | $363.08 | |
HMSA
| Professional | $302.00 | $354.81 | $380.19 | |
Kaiser Permanente
| Professional | $331.13 | $363.08 | $457.09 | |
United
| Professional | $151.36 | $302.00 | $457.09 |