| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.08 | $302.70 | $388.50 | |
Cigna
| Professional | $100.71 | $388.50 | $388.50 | |
HMSA
| Professional | $272.08 | $300.99 | $339.01 | |
Kaiser Permanente
| Professional | $323.75 | $388.50 | $485.63 | |
United
| Professional | $135.97 | $388.50 | $485.63 | |
University Health Alliance
| Professional | $226.63 | $382.03 | $582.75 |