| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,025.60 | $6,025.60 | |
Aetna
| Professional | $190.55 | $257.04 | $2,290.87 | |
Cigna
| Professional | $194.98 | $234.42 | $275.42 | |
HMSA
| Professional | $281.84 | $316.23 | $363.08 | |
Kaiser Permanente
| Professional | $186.21 | $213.80 | $263.03 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
United
| Professional | $165.96 | $245.47 | $323.59 | |
University Health Alliance
| Professional | $223.87 | $10,715.19 | $14,791.08 |