| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.23 | $563.52 | $723.24 | |
Aetna
| Professional | $319.43 | $319.43 | $319.43 | |
Cigna
| Professional | $723.24 | $723.24 | $723.24 | |
HMSA
| Professional | $567.99 | $681.05 | $753.38 | |
Kaiser Permanente
| Professional | $662.97 | $723.24 | $843.78 | |
United
| Professional | $602.70 | $723.24 | $904.05 |