| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.42 | $751.42 | $751.42 | |
Cigna
| Professional | $384.85 | $384.85 | $384.85 | |
HMSA
| Professional | $468.83 | $468.83 | $468.83 | |
Kaiser Permanente
| Professional | $423.33 | $461.82 | $538.79 | |
United
| Professional | $428.42 | $451.88 | $577.28 |