| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $758.76 | $758.76 | $789.42 | |
Cigna
| Facility | $1,238.42 | $1,238.42 | $1,238.42 | |
Cigna
| Professional | $906.54 | $906.54 | $1,714.80 | |
HMSA
| Professional | $1,558.91 | $1,632.37 | $1,632.37 | |
Kaiser Permanente
| Professional | $935.35 | $1,558.91 | $2,182.46 | |
United
| Professional | $964.47 | $1,238.42 | $1,714.80 | |
University Health Alliance
| Professional | $1,041.61 | $1,298.79 | $1,483.79 |