| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.37 | $272.42 | $349.63 | |
Aetna
| Professional | $234.38 | $239.46 | $400.12 | |
Cigna
| Professional | $158.62 | $349.63 | $349.63 | |
HMSA
| Professional | $294.00 | $346.92 | $404.25 | |
Kaiser Permanente
| Professional | $320.50 | $349.63 | $407.90 | |
United
| Professional | $291.36 | $349.63 | $437.04 | |
University Health Alliance
| Professional | $247.66 | $393.34 | $655.56 |