| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $269.15 | $331.13 | |
Aetna
| Professional | $147.91 | $234.42 | $346.74 | |
Cigna
| Professional | $331.13 | $331.13 | $331.13 | |
HMSA
| Professional | $275.42 | $288.40 | $346.74 | |
Kaiser Permanente
| Professional | $302.00 | $331.13 | $416.87 | |
United
| Professional | $138.04 | $275.42 | $416.87 |