| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $346.74 | $512.86 | $602.56 | |
Cigna
| Facility | $741.31 | $741.31 | $933.25 | |
Cigna
| Professional | $741.31 | $1,000.00 | $1,412.54 | |
HMSA
| Professional | $1,148.15 | $1,148.15 | $1,202.26 | |
Kaiser Permanente
| Professional | $794.33 | $1,148.15 | $1,318.26 | |
United
| Facility | $524.81 | $549.54 | $660.69 | |
United
| Professional | $194.98 | $933.25 | $1,230.27 |