| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $933.25 | $1,148.15 | |
Aetna
| Professional | $512.86 | $741.31 | $912.01 | |
Cigna
| Professional | $1,148.15 | $1,148.15 | $1,148.15 | |
HMSA
| Professional | $954.99 | $1,174.90 | $1,174.90 | |
Kaiser Permanente
| Professional | $954.99 | $1,148.15 | $1,412.54 | |
United
| Professional | $398.11 | $954.99 | $1,412.54 |