| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $315.68 | $328.44 | $344.89 | |
Cigna
| Facility | $375.73 | $375.73 | $375.73 | |
Cigna
| Professional | $375.73 | $375.73 | $588.72 | |
HMSA
| Professional | $535.20 | $560.41 | $560.41 | |
Kaiser Permanente
| Professional | $374.64 | $535.20 | $749.28 | |
United
| Professional | $287.02 | $529.85 | $588.72 | |
University Health Alliance
| Professional | $431.13 | $445.91 | $509.42 |