| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $193.06 | $193.06 | $261.87 | |
Cigna
| Professional | $300.79 | $368.61 | $442.34 | |
HMSA
| Professional | $317.24 | $380.58 | $478.26 | |
Kaiser Permanente
| Professional | $224.21 | $294.89 | $368.61 | |
United
| Professional | $300.79 | $368.61 | $730.60 | |
University Health Alliance
| Professional | $49.98 | $249.61 | $371.70 |