| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,162.71 | $1,162.71 | $1,162.71 | |
Cigna
| Facility | $2,506.53 | $2,506.53 | $2,506.53 | |
Cigna
| Professional | $163.71 | $163.71 | $2,202.34 | |
HMSA
| Professional | $248.78 | $3,673.20 | $3,846.28 | |
Kaiser Permanente
| Professional | $286.64 | $286.64 | $286.64 | |
United
| Professional | $981.68 | $1,847.79 | $2,506.53 |