| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $698.17 | $791.26 | $1,015.52 | |
Aetna
| Professional | $448.52 | $448.52 | $448.52 | |
Cigna
| Professional | $1,015.52 | $1,015.52 | $1,015.52 | |
HMSA
| Professional | $797.54 | $956.29 | $1,057.83 | |
Kaiser Permanente
| Professional | $930.90 | $1,015.52 | $1,184.78 | |
United
| Professional | $846.27 | $1,015.52 | $1,269.41 |