| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $389.05 | $467.74 | |
Aetna
| Professional | $213.80 | $302.00 | $380.19 | |
Cigna
| Professional | $467.74 | $467.74 | $467.74 | |
HMSA
| Professional | $389.05 | $457.09 | $489.78 | |
Kaiser Permanente
| Professional | $389.05 | $467.74 | $588.84 | |
United
| Professional | $165.96 | $389.05 | $588.84 |