| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,747.00 | $6,084.00 | |
Aetna
| Professional | $559.77 | $559.77 | $559.77 | |
Cigna
| Professional | $553.67 | $765.99 | $919.19 | |
HMSA
| Professional | $763.61 | $857.93 | $3,857.00 | |
Kaiser Permanente
| Professional | $674.07 | $735.35 | $857.91 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 | |
United
| Professional | $591.27 | $765.99 | $939.36 | |
University Health Alliance
| Professional | $521.82 | $8,240.00 | $12,905.00 |