| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.74 | $568.64 | $729.80 | |
Aetna
| Professional | $322.33 | $322.33 | $322.33 | |
Cigna
| Professional | $729.80 | $729.80 | $729.80 | |
HMSA
| Professional | $608.16 | $636.83 | $760.21 | |
Kaiser Permanente
| Professional | $668.99 | $729.80 | $851.44 | |
United
| Professional | $608.16 | $729.80 | $912.26 |