| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $481.99 | $546.26 | $701.08 | |
Aetna
| Professional | $309.64 | $309.64 | $309.64 | |
Cigna
| Professional | $318.22 | $701.08 | $701.08 | |
HMSA
| Professional | $584.23 | $689.39 | $803.31 | |
Kaiser Permanente
| Professional | $642.65 | $701.08 | $817.92 | |
United
| Professional | $584.23 | $701.08 | $876.35 | |
University Health Alliance
| Professional | $496.60 | $858.82 | $1,314.52 |