| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $229.09 | $354.81 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $269.15 | $302.00 | $436.52 | |
HMSA
| Professional | $407.38 | $426.58 | $537.03 | |
Kaiser Permanente
| Professional | $281.84 | $295.12 | $562.34 | |
United
| Facility | $22.39 | $165.96 | $295.12 | |
United
| Professional | $177.83 | $316.23 | $436.52 |