| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $540.96 | $540.96 | $876.05 | |
Cigna
| Professional | $747.40 | $747.40 | $747.40 | |
HMSA
| Professional | $868.00 | $908.90 | $908.90 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $635.29 | $747.40 | $747.40 | |
University Health Alliance
| Professional | $752.33 | $752.33 | $827.56 |