| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $660.69 | $794.33 | |
Aetna
| Professional | $363.08 | $512.86 | $645.65 | |
Cigna
| Professional | $794.33 | $794.33 | $794.33 | |
HMSA
| Professional | $660.69 | $776.25 | $831.76 | |
Kaiser Permanente
| Professional | $660.69 | $794.33 | $1,000.00 | |
United
| Professional | $275.42 | $660.69 | $1,000.00 |