| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Aetna
| Professional | $288.40 | $512.86 | $549.54 | |
Cigna
| Professional | $489.78 | $489.78 | $501.19 | |
HMSA
| Professional | $562.34 | $707.95 | $707.95 | |
Kaiser Permanente
| Professional | $389.05 | $426.58 | $489.78 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
United
| Professional | $398.11 | $512.86 | $660.69 | |
University Health Alliance
| Professional | $69.18 | $371.54 | $549.54 |