| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $600.16 | $600.16 | $600.16 | |
Cigna
| Facility | $833.65 | $833.65 | $833.65 | |
Cigna
| Professional | $731.38 | $731.38 | $1,154.33 | |
HMSA
| Professional | $1,049.40 | $1,098.84 | $1,098.84 | |
Kaiser Permanente
| Professional | $629.64 | $1,049.40 | $1,469.16 | |
United
| Professional | $731.33 | $833.65 | $1,154.33 | |
University Health Alliance
| Professional | $701.18 | $874.30 | $998.83 |