| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $1,621.81 | $1,949.84 | |
Aetna
| Professional | $891.25 | $1,412.54 | $2,041.74 | |
Cigna
| Professional | $1,949.84 | $1,949.84 | $1,949.84 | |
HMSA
| Professional | $1,621.81 | $1,819.70 | $2,041.74 | |
Kaiser Permanente
| Professional | $1,778.28 | $1,949.84 | $2,454.71 | |
United
| Professional | $676.08 | $812.83 | $2,454.71 | |
University Health Alliance
| Professional | $1,380.38 | $2,398.83 | $3,630.78 |