| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $588.84 | $724.44 | |
Aetna
| Professional | $331.13 | $512.86 | $758.58 | |
Cigna
| Professional | $724.44 | $724.44 | $724.44 | |
HMSA
| Professional | $602.56 | $758.58 | $758.58 | |
Kaiser Permanente
| Professional | $660.69 | $724.44 | $891.25 | |
United
| Professional | $251.19 | $302.00 | $891.25 | |
University Health Alliance
| Professional | $512.86 | $870.96 | $1,348.96 |