| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.13 | $337.88 | $433.64 | |
Aetna
| Professional | $191.53 | $191.53 | $191.53 | |
Cigna
| Professional | $433.64 | $433.64 | $433.64 | |
HMSA
| Professional | $340.56 | $408.35 | $451.71 | |
Kaiser Permanente
| Professional | $397.51 | $433.64 | $505.92 | |
United
| Professional | $361.37 | $433.64 | $542.05 |