| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.54 | $546.88 | $701.88 | |
Aetna
| Professional | $382.71 | $382.71 | $382.71 | |
Cigna
| Professional | $393.80 | $701.88 | $701.88 | |
HMSA
| Professional | $756.13 | $906.63 | $1,002.91 | |
Kaiser Permanente
| Professional | $643.39 | $701.88 | $818.86 | |
United
| Professional | $701.88 | $722.10 | $877.35 | |
University Health Alliance
| Professional | $497.17 | $859.80 | $1,316.03 |