| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $524.81 | $524.81 | |
Aetna
| Professional | $69.18 | $77.62 | $109.65 | |
Cigna
| Professional | $66.07 | $93.33 | $239.88 | |
HMSA
| Professional | $72.44 | $81.28 | $93.33 | |
Kaiser Permanente
| Professional | $77.62 | $83.18 | $97.72 | |
United
| Professional | $72.44 | $91.20 | $120.23 |