| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $219.39 | $219.39 | $219.39 | |
Cigna
| Facility | $757.37 | $757.37 | $757.37 | |
Cigna
| Professional | $380.63 | $380.63 | $1,048.71 | |
HMSA
| Professional | $953.37 | $998.29 | $998.29 | |
Kaiser Permanente
| Professional | $572.02 | $953.37 | $1,334.72 | |
United
| Professional | $496.41 | $664.41 | $1,048.71 | |
University Health Alliance
| Professional | $632.09 | $794.30 | $907.44 |