| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $588.84 | $724.44 | |
Aetna
| Professional | $323.59 | $562.34 | $758.58 | |
Cigna
| Professional | $724.44 | $724.44 | $724.44 | |
HMSA
| Professional | $602.56 | $2,137.96 | $3,630.78 | |
Kaiser Permanente
| Professional | $660.69 | $724.44 | $891.25 | |
United
| Professional | $43.65 | $251.19 | $891.25 | |
University Health Alliance
| Professional | $512.86 | $933.25 | $1,479.11 |