| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Aetna
| Professional | $144.54 | $478.63 | $645.65 | |
Cigna
| Professional | $165.96 | $645.65 | $741.31 | |
HMSA
| Professional | $269.15 | $380.19 | $2,454.71 | |
Kaiser Permanente
| Professional | $147.91 | $524.81 | $660.69 | |
United
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
United
| Professional | $204.17 | $524.81 | $933.25 | |
University Health Alliance
| Professional | $190.55 | $4,073.80 | $5,623.41 |