| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.56 | $119.56 | $119.56 | |
Cigna
| Facility | $267.89 | $267.89 | $267.89 | |
Cigna
| Professional | $211.82 | $211.82 | $352.39 | |
HMSA
| Professional | $320.35 | $335.44 | $335.44 | |
Kaiser Permanente
| Professional | $224.25 | $320.35 | $448.49 | |
United
| Professional | $55.66 | $267.89 | $352.39 | |
University Health Alliance
| Professional | $271.64 | $280.95 | $307.80 |