| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.54 | $546.88 | $701.88 | |
Aetna
| Professional | $425.23 | $425.23 | $425.23 | |
Cigna
| Professional | $438.96 | $701.88 | $701.88 | |
HMSA
| Professional | $714.12 | $840.14 | $1,002.91 | |
Kaiser Permanente
| Professional | $584.90 | $701.88 | $877.35 | |
United
| Professional | $701.88 | $701.88 | $877.35 | |
University Health Alliance
| Professional | $497.17 | $859.80 | $1,316.03 |