| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.22 | $294.22 | $306.10 | |
Cigna
| Facility | $425.18 | $425.18 | $425.18 | |
Cigna
| Professional | $336.03 | $588.72 | $588.72 | |
HMSA
| Professional | $535.20 | $560.41 | $560.41 | |
Kaiser Permanente
| Professional | $321.12 | $535.20 | $749.28 | |
United
| Professional | $373.00 | $425.18 | $588.72 | |
University Health Alliance
| Professional | $357.62 | $445.91 | $509.42 |