| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $435.49 | $493.56 | $633.44 | |
Aetna
| Professional | $279.77 | $279.77 | $279.77 | |
Cigna
| Professional | $633.44 | $633.44 | $633.44 | |
HMSA
| Professional | $497.47 | $596.49 | $659.84 | |
Kaiser Permanente
| Professional | $580.66 | $633.44 | $739.02 | |
United
| Professional | $527.87 | $791.81 | $791.81 |