| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.94 | $432.94 | $432.94 | |
Cigna
| Professional | $243.61 | $243.61 | $283.14 | |
HMSA
| Professional | $344.49 | $344.49 | $406.50 | |
Kaiser Permanente
| Professional | $243.61 | $292.33 | $341.05 | |
United
| Professional | $243.61 | $283.14 | $365.42 |