| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $950.00 | $950.00 | $950.00 | |
HMSA
| Professional | $117.03 | $2,965.45 | $3,644.85 | |
Kaiser Permanente
| Professional | $2,045.87 | $2,231.86 | $2,324.85 | |
United
| Professional | $3,688.21 | $4,451.22 | $4,874.55 |