| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,008.88 | $2,276.73 | $2,922.00 | |
Aetna
| Professional | $1,290.55 | $1,290.55 | $1,290.55 | |
Cigna
| Professional | $2,922.00 | $2,922.00 | $2,922.00 | |
HMSA
| Professional | $2,294.77 | $2,751.55 | $3,043.75 | |
Kaiser Permanente
| Professional | $2,678.50 | $2,922.00 | $3,409.00 | |
United
| Professional | $2,435.00 | $2,922.00 | $3,652.50 |