| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $575.44 | $707.95 | |
Aetna
| Professional | $316.23 | $501.19 | $741.31 | |
Cigna
| Professional | $707.95 | $707.95 | $707.95 | |
HMSA
| Professional | $588.84 | $691.83 | $724.44 | |
Kaiser Permanente
| Professional | $645.65 | $707.95 | $870.96 | |
United
| Professional | $295.12 | $588.84 | $870.96 |