| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.05 | $541.79 | $695.35 | |
Cigna
| Professional | $317.63 | $695.35 | $695.35 | |
HMSA
| Professional | $546.08 | $654.79 | $724.33 | |
Kaiser Permanente
| Professional | $579.46 | $695.35 | $869.19 | |
United
| Professional | $243.37 | $695.35 | $869.19 | |
University Health Alliance
| Professional | $492.54 | $851.81 | $1,419.68 |