| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.80 | $27.10 | $767.75 | |
Cigna
| Facility | $1,121.33 | $1,121.33 | $1,121.33 | |
Cigna
| Professional | $463.37 | $567.85 | $681.42 | |
Kaiser Permanente
| Professional | $20.74 | $454.28 | $567.85 | |
United
| Professional | $98.26 | $562.79 | $748.26 | |
University Health Alliance
| Professional | $16.12 | $453.87 | $1,484.44 |