| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.23 | $3,311.31 | $3,981.07 | |
Aetna
| Professional | $1,000.00 | $2,884.03 | $4,168.69 | |
Cigna
| Professional | $3,981.07 | $3,981.07 | $3,981.07 | |
HMSA
| Professional | $3,311.31 | $4,168.69 | $4,168.69 | |
Kaiser Permanente
| Professional | $3,630.78 | $3,981.07 | $5,011.87 | |
United
| Professional | $1,380.38 | $1,659.59 | $5,011.87 | |
University Health Alliance
| Professional | $2,818.38 | $4,897.79 | $7,413.10 |