| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,818.38 | $2,884.03 | |
Aetna
| Professional | $72.44 | $316.23 | $524.81 | |
Cigna
| Professional | $83.18 | $501.19 | $602.56 | |
HMSA
| Professional | $128.82 | $165.96 | $208.93 | |
Kaiser Permanente
| Professional | $75.86 | $407.38 | $501.19 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
United
| Professional | $102.33 | $407.38 | $758.58 | |
University Health Alliance
| Professional | $13.80 | $72.44 | $102.33 |