| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $831.76 | $1,023.29 | |
Aetna
| Professional | $457.09 | $724.44 | $1,071.52 | |
Cigna
| Professional | $1,023.29 | $1,023.29 | $1,023.29 | |
HMSA
| Professional | $851.14 | $1,000.00 | $1,047.13 | |
Kaiser Permanente
| Professional | $933.25 | $1,023.29 | $1,258.93 | |
United
| Professional | $426.58 | $851.14 | $1,258.93 |