| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $239.88 | $371.54 | |
Cigna
| Facility | $316.23 | $316.23 | $346.74 | |
Cigna
| Professional | $316.23 | $389.05 | $549.54 | |
HMSA
| Professional | $446.68 | $446.68 | $446.68 | |
Kaiser Permanente
| Professional | $269.15 | $446.68 | $512.86 | |
United
| Facility | $263.03 | $269.15 | $316.23 | |
United
| Professional | $234.42 | $331.13 | $478.63 |