| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $371.54 | $446.68 | |
Aetna
| Professional | $204.17 | $323.59 | $467.74 | |
Cigna
| Professional | $446.68 | $446.68 | $446.68 | |
HMSA
| Professional | $89.13 | $89.13 | $89.13 | |
Kaiser Permanente
| Professional | $416.87 | $446.68 | $562.34 | |
United
| Professional | $186.21 | $371.54 | $562.34 |