| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $676.08 | $851.14 | $1,318.26 | |
Cigna
| Facility | $954.99 | $954.99 | $1,230.27 | |
Cigna
| Professional | $954.99 | $1,380.38 | $1,949.84 | |
HMSA
| Professional | $1,584.89 | $1,584.89 | $1,659.59 | |
Kaiser Permanente
| Professional | $954.99 | $1,584.89 | $1,819.70 | |
United
| Facility | $933.25 | $954.99 | $1,122.02 | |
United
| Professional | $831.76 | $1,174.90 | $1,698.24 |