| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $586.95 | $586.95 | $610.66 | |
Cigna
| Facility | $647.80 | $647.80 | $647.80 | |
Cigna
| Professional | $647.80 | $928.79 | $928.79 | |
HMSA
| Professional | $844.35 | $884.14 | $884.14 | |
Kaiser Permanente
| Professional | $591.04 | $844.35 | $1,182.08 | |
United
| Professional | $683.54 | $835.91 | $928.79 | |
University Health Alliance
| Professional | $757.75 | $802.05 | $810.87 |