| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $653.54 | $740.68 | $950.60 | |
Cigna
| Professional | $950.60 | $950.60 | $950.60 | |
HMSA
| Professional | $705.08 | $829.50 | $990.21 | |
Kaiser Permanente
| Professional | $792.17 | $950.60 | $1,188.26 | |
United
| Professional | $332.71 | $950.60 | $1,188.26 |