| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.94 | $295.94 | $295.94 | |
Cigna
| Facility | $593.51 | $593.51 | $593.51 | |
Cigna
| Professional | $427.13 | $427.13 | $821.81 | |
HMSA
| Professional | $747.10 | $782.30 | $782.30 | |
Kaiser Permanente
| Professional | $448.26 | $747.10 | $1,045.94 | |
United
| Professional | $461.10 | $593.51 | $821.81 | |
University Health Alliance
| Professional | $326.73 | $601.83 | $711.10 |