| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $380.19 | $457.09 | |
Aetna
| Professional | $208.93 | $295.12 | $371.54 | |
Cigna
| Professional | $457.09 | $457.09 | $457.09 | |
HMSA
| Professional | $89.13 | $89.13 | $89.13 | |
Kaiser Permanente
| Professional | $380.19 | $457.09 | $575.44 | |
United
| Professional | $158.49 | $380.19 | $575.44 |