| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,324.03 | $1,758.00 | $4,456.00 | |
Aetna
| Professional | $528.78 | $656.35 | $1,244.58 | |
Cigna
| Professional | $587.30 | $759.21 | $911.06 | |
HMSA
| Professional | $820.79 | $922.19 | $8,430.00 | |
Kaiser Permanente
| Professional | $668.11 | $728.84 | $850.32 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 | |
United
| Professional | $619.52 | $759.21 | $1,014.90 | |
University Health Alliance
| Professional | $771.32 | $2,582.96 | $6,124.00 |