| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $656.66 | $744.21 | $875.54 | |
Aetna
| Professional | $580.60 | $680.59 | $2,491.80 | |
Cigna
| Professional | $501.34 | $683.74 | $875.54 | |
HMSA
| Professional | $773.80 | $905.20 | $1,001.33 | |
Kaiser Permanente
| Professional | $668.01 | $778.26 | $907.97 | |
United
| Professional | $831.68 | $875.54 | $1,025.35 | |
University Health Alliance
| Professional | $589.10 | $957.37 | $1,529.94 |