| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $428.86 | $428.86 | $446.18 | |
Cigna
| Facility | $678.82 | $678.82 | $678.82 | |
Cigna
| Professional | $465.67 | $465.67 | $767.89 | |
HMSA
| Professional | $710.49 | $743.97 | $743.97 | |
Kaiser Permanente
| Professional | $488.66 | $698.08 | $977.31 | |
United
| Professional | $552.12 | $678.82 | $767.89 | |
University Health Alliance
| Professional | $624.72 | $668.79 | $688.32 |