| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.73 | $414.49 | $531.97 | |
Aetna
| Professional | $234.95 | $234.95 | $234.95 | |
Cigna
| Professional | $531.97 | $531.97 | $531.97 | |
HMSA
| Professional | $417.78 | $500.94 | $554.14 | |
Kaiser Permanente
| Professional | $487.64 | $531.97 | $620.63 | |
United
| Professional | $443.31 | $531.97 | $664.97 |