| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $401.87 | $401.87 | $401.87 | |
Cigna
| Facility | $937.77 | $937.77 | $937.77 | |
Cigna
| Professional | $944.53 | $944.53 | $1,298.52 | |
HMSA
| Professional | $1,180.47 | $1,236.08 | $1,236.08 | |
Kaiser Permanente
| Professional | $708.28 | $1,180.47 | $1,652.66 | |
United
| Professional | $716.47 | $937.77 | $1,298.52 | |
University Health Alliance
| Professional | $950.91 | $983.50 | $1,123.58 |