| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $794.33 | $954.99 | |
Aetna
| Professional | $436.52 | $676.08 | $1,000.00 | |
Cigna
| Professional | $954.99 | $954.99 | $954.99 | |
HMSA
| Professional | $794.33 | $831.76 | $1,000.00 | |
Kaiser Permanente
| Professional | $870.96 | $954.99 | $1,202.26 | |
United
| Professional | $398.11 | $794.33 | $1,202.26 |