| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $602.56 | $724.44 | |
Aetna
| Professional | $331.13 | $524.81 | $758.58 | |
Cigna
| Professional | $724.44 | $724.44 | $724.44 | |
HMSA
| Professional | $602.56 | $630.96 | $758.58 | |
Kaiser Permanente
| Professional | $676.08 | $724.44 | $912.01 | |
United
| Professional | $302.00 | $602.56 | $912.01 |