| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.45 | $742.85 | $953.39 | |
Aetna
| Professional | $421.08 | $421.08 | $421.08 | |
Cigna
| Professional | $953.39 | $953.39 | $953.39 | |
HMSA
| Professional | $748.74 | $897.77 | $993.11 | |
Kaiser Permanente
| Professional | $873.94 | $953.39 | $1,112.29 | |
United
| Professional | $794.49 | $1,191.74 | $1,191.74 |