| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $6,084.00 | $7,424.00 | |
Aetna
| Professional | $1,412.82 | $1,608.68 | $2,134.01 | |
Cigna
| Professional | $1,447.18 | $1,674.98 | $2,009.97 | |
HMSA
| Professional | $1,950.18 | $2,191.09 | $17,536.00 | |
Kaiser Permanente
| Professional | $1,473.98 | $1,607.98 | $1,875.97 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 | |
United
| Professional | $1,258.08 | $1,674.98 | $2,163.66 | |
University Health Alliance
| Professional | $1,492.28 | $7,569.00 | $12,700.00 |