| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $546.41 | $619.27 | $794.78 | |
Aetna
| Professional | $351.03 | $351.03 | $351.03 | |
Cigna
| Professional | $794.78 | $794.78 | $794.78 | |
HMSA
| Professional | $662.32 | $662.32 | $693.53 | |
Kaiser Permanente
| Professional | $728.55 | $794.78 | $927.25 | |
United
| Professional | $662.32 | $794.78 | $993.48 |