| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $578.79 | $578.79 | $578.79 | |
Cigna
| Facility | $2,120.40 | $2,120.40 | $2,120.40 | |
Cigna
| Professional | $1,030.36 | $2,936.05 | $2,936.05 | |
HMSA
| Professional | $2,669.14 | $2,794.91 | $2,794.91 | |
Kaiser Permanente
| Professional | $1,601.48 | $2,669.14 | $3,736.80 | |
United
| Professional | $1,327.36 | $2,120.40 | $2,936.05 | |
University Health Alliance
| Professional | $2,150.09 | $2,223.78 | $2,540.53 |