| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,496.79 | $1,496.79 | $1,496.79 | |
Cigna
| Facility | $670.42 | $670.42 | $670.42 | |
Cigna
| Professional | $482.77 | $928.31 | $928.31 | |
HMSA
| Professional | $843.92 | $883.69 | $883.69 | |
Kaiser Permanente
| Professional | $590.74 | $843.92 | $1,181.49 | |
United
| Professional | $569.53 | $789.07 | $928.31 |