| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.22 | $336.22 | $336.22 | |
Cigna
| Facility | $784.58 | $784.58 | $784.58 | |
Cigna
| Professional | $710.11 | $1,086.38 | $1,086.38 | |
HMSA
| Professional | $987.62 | $1,034.16 | $1,034.16 | |
Kaiser Permanente
| Professional | $592.57 | $987.62 | $1,382.67 | |
United
| Professional | $599.40 | $784.58 | $1,086.38 | |
University Health Alliance
| Professional | $659.91 | $822.83 | $940.03 |