| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,898.00 | $3,444.00 | |
Aetna
| Professional | $184.97 | $504.50 | $2,182.19 | |
Cigna
| Professional | $445.17 | $545.54 | $654.66 | |
HMSA
| Professional | $295.77 | $349.75 | $624.32 | |
Kaiser Permanente
| Professional | $206.17 | $436.44 | $545.54 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $445.17 | $545.54 | $666.77 | |
University Health Alliance
| Professional | $29.27 | $229.89 | $528.97 |