| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.40 | $416.87 | $660.69 | |
Cigna
| Facility | $436.52 | $436.52 | $776.25 | |
Cigna
| Professional | $436.52 | $870.96 | $1,230.27 | |
HMSA
| Professional | $1,000.00 | $1,000.00 | $1,047.13 | |
Kaiser Permanente
| Professional | $602.56 | $1,000.00 | $1,148.15 | |
United
| Facility | $436.52 | $457.09 | $524.81 | |
United
| Professional | $389.05 | $676.08 | $1,071.52 |