| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.50 | $260.50 | $331.37 | |
Cigna
| Professional | $375.80 | $460.54 | $552.65 | |
HMSA
| Professional | $427.54 | $501.49 | $636.14 | |
Kaiser Permanente
| Professional | $300.62 | $382.61 | $460.54 | |
United
| Professional | $375.80 | $460.54 | $929.52 | |
University Health Alliance
| Professional | $61.72 | $327.90 | $459.05 |