| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,887.50 | $3,272.50 | $4,200.00 | |
Cigna
| Professional | $4,200.00 | $4,200.00 | $4,200.00 | |
HMSA
| Professional | $3,298.43 | $3,955.00 | $4,375.00 | |
Kaiser Permanente
| Professional | $3,850.00 | $4,200.00 | $4,900.00 | |
United
| Professional | $3,500.00 | $4,200.00 | $5,250.00 |