| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,898.00 | $3,444.00 | |
Aetna
| Professional | $6.75 | $30.75 | $89.40 | |
Cigna
| Professional | $7.38 | $9.05 | $10.86 | |
HMSA
| Professional | $9.56 | $10.75 | $12.10 | |
Kaiser Permanente
| Professional | $2.41 | $7.96 | $9.41 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $7.18 | $9.05 | $14.82 | |
University Health Alliance
| Professional | $1.24 | $2.61 | $9.19 |