| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $346.74 | $371.54 | $446.68 | |
Cigna
| Facility | $588.84 | $588.84 | $588.84 | |
Cigna
| Professional | $52.48 | $316.23 | $512.86 | |
HMSA
| Professional | $61.66 | $83.18 | $83.18 | |
Kaiser Permanente
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Facility | $38.02 | $234.42 | $416.87 | |
United
| Professional | $234.42 | $446.68 | $758.58 |