| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Aetna
| Professional | $196.51 | $294.45 | $1,632.38 | |
Cigna
| Professional | $261.70 | $381.91 | $1,138.39 | |
Kaiser Permanente
| Professional | $267.66 | $292.00 | $340.66 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 | |
United
| Professional | $196.03 | $285.26 | $464.45 | |
University Health Alliance
| Professional | $36.54 | $194.15 | $292.36 |