| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.84 | $389.69 | $500.14 | |
Aetna
| Professional | $475.51 | $475.51 | $486.97 | |
Cigna
| Professional | $330.59 | $330.59 | $330.59 | |
HMSA
| Professional | $677.03 | $847.71 | $987.80 | |
Kaiser Permanente
| Professional | $458.46 | $500.14 | $583.49 | |
United
| Professional | $500.14 | $572.91 | $809.04 | |
University Health Alliance
| Professional | $416.78 | $767.70 | $1,390.99 |