| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,020.06 | $2,289.40 | $2,938.27 | |
Aetna
| Professional | $1,297.74 | $1,297.74 | $1,297.74 | |
Cigna
| Professional | $1,377.53 | $2,938.27 | $2,938.27 | |
HMSA
| Professional | $2,448.56 | $2,889.30 | $3,366.78 | |
Kaiser Permanente
| Professional | $2,693.42 | $2,938.27 | $3,427.98 | |
United
| Professional | $2,448.56 | $2,938.27 | $3,672.84 | |
University Health Alliance
| Professional | $2,081.28 | $3,305.56 | $5,509.26 |