| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,195.23 | $3,621.26 | $4,647.60 | |
Aetna
| Professional | $2,052.69 | $2,052.69 | $2,052.69 | |
Cigna
| Professional | $4,647.60 | $4,647.60 | $4,647.60 | |
HMSA
| Professional | $3,873.00 | $4,055.50 | $4,841.25 | |
Kaiser Permanente
| Professional | $4,260.30 | $4,647.60 | $5,422.20 | |
United
| Professional | $3,873.00 | $4,647.60 | $5,809.50 |