| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,157.88 | $2,747.00 | $3,883.00 | |
Aetna
| Professional | $194.84 | $206.50 | $235.34 | |
Cigna
| Professional | $133.65 | $172.50 | $207.00 | |
HMSA
| Professional | $282.62 | $317.52 | $2,077.00 | |
Kaiser Permanente
| Professional | $151.80 | $165.60 | $193.20 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 | |
United
| Professional | $140.76 | $172.50 | $235.95 | |
University Health Alliance
| Professional | $198.45 | $2,040.00 | $5,304.00 |