| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.50 | $195.50 | $264.31 | |
Cigna
| Professional | $293.08 | $359.16 | $431.00 | |
HMSA
| Professional | $313.08 | $370.22 | $424.33 | |
Kaiser Permanente
| Professional | $221.22 | $287.33 | $359.16 | |
United
| Professional | $293.08 | $359.16 | $715.50 | |
University Health Alliance
| Professional | $48.52 | $248.38 | $360.87 |