| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.84 | $389.69 | $500.14 | |
Aetna
| Professional | $469.90 | $572.36 | $2,168.80 | |
Cigna
| Professional | $312.73 | $500.14 | $500.14 | |
HMSA
| Professional | $899.21 | $1,078.20 | $1,192.70 | |
Kaiser Permanente
| Professional | $458.46 | $500.14 | $583.49 | |
United
| Professional | $500.14 | $571.72 | $625.16 | |
University Health Alliance
| Professional | $354.26 | $612.66 | $937.76 |