| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $386.96 | $401.47 | $411.15 | |
Cigna
| Professional | $411.15 | $411.15 | $493.50 | |
HMSA
| Professional | $482.82 | $482.82 | $482.82 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $399.50 | $411.77 | $604.62 | |
University Health Alliance
| Professional | $483.29 | $497.78 | $699.64 |