| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $398.11 | $478.63 | |
Aetna
| Professional | $295.12 | $380.19 | $630.96 | |
Cigna
| Professional | $281.84 | $281.84 | $478.63 | |
HMSA
| Professional | $549.54 | $707.95 | $794.33 | |
Kaiser Permanente
| Professional | $446.68 | $478.63 | $602.56 | |
United
| Professional | $275.42 | $478.63 | $776.25 | |
University Health Alliance
| Professional | $338.84 | $602.56 | $977.24 |