| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $213.80 | $251.19 | |
Aetna
| Professional | $138.04 | $181.97 | $309.03 | |
Cigna
| Professional | $204.17 | $371.54 | $724.44 | |
HMSA
| Professional | $602.56 | $831.76 | $912.01 | |
Kaiser Permanente
| Professional | $208.93 | $229.09 | $269.15 | |
United
| Professional | $199.53 | $281.84 | $549.54 | |
University Health Alliance
| Professional | $229.09 | $295.12 | $870.96 |