| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $891.25 | $1,071.52 | |
Aetna
| Professional | $489.78 | $691.83 | $870.96 | |
Cigna
| Professional | $1,071.52 | $1,071.52 | $1,071.52 | |
HMSA
| Professional | $891.25 | $1,047.13 | $1,122.02 | |
Kaiser Permanente
| Professional | $891.25 | $1,071.52 | $1,348.96 | |
United
| Professional | $380.19 | $891.25 | $1,348.96 |