| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $354.81 | $426.58 | |
Aetna
| Professional | $199.53 | $338.84 | $346.74 | |
Cigna
| Professional | $281.84 | $281.84 | $426.58 | |
HMSA
| Professional | $616.60 | $794.33 | $870.96 | |
Kaiser Permanente
| Professional | $354.81 | $426.58 | $537.03 | |
United
| Professional | $151.36 | $489.78 | $691.83 | |
University Health Alliance
| Professional | $302.00 | $537.03 | $851.14 |