| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $558.11 | $632.53 | $811.80 | |
Aetna
| Professional | $374.72 | $374.72 | $374.72 | |
Cigna
| Professional | $385.56 | $811.80 | $811.80 | |
HMSA
| Professional | $741.85 | $889.52 | $1,082.39 | |
Kaiser Permanente
| Professional | $744.15 | $811.80 | $947.10 | |
United
| Professional | $707.02 | $811.80 | $1,014.75 | |
University Health Alliance
| Professional | $575.03 | $994.46 | $1,522.13 |