| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $281.84 | $446.68 | |
Cigna
| Facility | $338.84 | $338.84 | $489.78 | |
Cigna
| Professional | $338.84 | $549.54 | $776.25 | |
HMSA
| Professional | $630.96 | $630.96 | $660.69 | |
Kaiser Permanente
| Professional | $371.54 | $630.96 | $724.44 | |
United
| Facility | $331.13 | $338.84 | $398.11 | |
United
| Professional | $295.12 | $426.58 | $676.08 |