| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $580.03 | $580.03 | $603.47 | |
Cigna
| Facility | $838.24 | $838.24 | $838.24 | |
Cigna
| Professional | $702.03 | $702.03 | $1,160.68 | |
HMSA
| Professional | $1,055.16 | $1,104.88 | $1,104.88 | |
Kaiser Permanente
| Professional | $738.61 | $1,055.16 | $1,477.22 | |
United
| Professional | $640.39 | $838.24 | $1,316.04 | |
University Health Alliance
| Professional | $461.46 | $849.98 | $1,004.32 |