| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.40 | $354.81 | $467.74 | |
Cigna
| Facility | $416.87 | $416.87 | $524.81 | |
Cigna
| Professional | $416.87 | $588.84 | $831.76 | |
HMSA
| Professional | $676.08 | $676.08 | $707.95 | |
Kaiser Permanente
| Professional | $407.38 | $676.08 | $776.25 | |
United
| Facility | $302.00 | $380.19 | $389.05 | |
United
| Professional | $354.81 | $501.19 | $724.44 |