| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $3,162.28 | $3,801.89 | |
Aetna
| Professional | $1,737.80 | $2,511.89 | $4,073.80 | |
Cigna
| Professional | $3,801.89 | $3,801.89 | $3,801.89 | |
HMSA
| Professional | $3,235.94 | $3,388.44 | $3,981.07 | |
Kaiser Permanente
| Professional | $3,548.13 | $3,801.89 | $4,786.30 | |
United
| Professional | $1,584.89 | $3,235.94 | $4,786.30 |