| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $575.44 | $707.95 | |
Aetna
| Professional | $389.05 | $501.19 | $912.01 | |
Cigna
| Professional | $371.54 | $398.11 | $707.95 | |
HMSA
| Professional | $794.33 | $954.99 | $1,000.00 | |
Kaiser Permanente
| Professional | $645.65 | $707.95 | $870.96 | |
United
| Professional | $363.08 | $707.95 | $870.96 | |
University Health Alliance
| Professional | $501.19 | $851.14 | $1,318.26 |