| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $328.31 | $328.31 | $328.31 | |
Cigna
| Facility | $766.12 | $766.12 | $766.12 | |
Cigna
| Professional | $551.53 | $551.53 | $1,060.83 | |
HMSA
| Professional | $964.39 | $1,009.83 | $1,009.83 | |
Kaiser Permanente
| Professional | $578.63 | $964.39 | $1,350.15 | |
United
| Professional | $672.08 | $766.12 | $1,060.83 | |
University Health Alliance
| Professional | $672.08 | $803.47 | $917.92 |