| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.52 | $245.52 | $245.52 | |
Cigna
| Facility | $345.26 | $345.26 | $345.26 | |
Cigna
| Professional | $375.74 | $375.74 | $375.74 | |
HMSA
| Professional | $450.88 | $450.88 | $450.88 | |
Kaiser Permanente
| Professional | $419.05 | $419.05 | $419.05 | |
United
| Professional | $311.99 | $345.26 | $499.99 |