| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.34 | $525.34 | $525.34 | |
Cigna
| Professional | $308.68 | $308.68 | $308.68 | |
HMSA
| Professional | $429.12 | $429.12 | $429.12 | |
Kaiser Permanente
| Professional | $339.55 | $370.42 | $432.16 | |
United
| Professional | $308.68 | $352.71 | $463.02 | |
University Health Alliance
| Professional | $262.72 | $338.91 | $379.16 |