| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,324.03 | $2,747.00 | $4,817.00 | |
Aetna
| Professional | $355.10 | $534.63 | $620.71 | |
Cigna
| Professional | $470.38 | $550.69 | $662.73 | |
HMSA
| Professional | $661.89 | $747.94 | $939.88 | |
Kaiser Permanente
| Professional | $459.73 | $585.12 | $742.25 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 | |
United
| Professional | $540.78 | $662.73 | $817.37 | |
University Health Alliance
| Professional | $479.64 | $2,575.00 | $6,124.00 |