| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $9,233.00 | $12,235.00 | |
HMSA
| Facility | $374.31 | $863.00 | $941.00 | |
Kaiser Permanente
| Facility | $110.00 | $275.00 | $25,886.78 | |
United
| Facility | $1,200.00 | $1,602.00 | $11,827.00 | |
University Health Alliance
| Facility | $1,259.00 | $3,710.00 | $14,420.00 |