| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.12 | $398.11 | $630.96 | |
Cigna
| Facility | $407.38 | $407.38 | $446.68 | |
Cigna
| Professional | $407.38 | $501.19 | $707.95 | |
HMSA
| Professional | $575.44 | $575.44 | $602.56 | |
Kaiser Permanente
| Professional | $346.74 | $575.44 | $660.69 | |
United
| Facility | $436.52 | $446.68 | $524.81 | |
United
| Professional | $389.05 | $501.19 | $707.95 |