| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $235.45 | $235.45 | $349.61 | |
Cigna
| Professional | $313.54 | $405.08 | $486.09 | |
HMSA
| Professional | $351.48 | $415.63 | $475.05 | |
Kaiser Permanente
| Professional | $252.63 | $344.49 | $405.08 | |
United
| Professional | $330.54 | $405.08 | $534.62 | |
University Health Alliance
| Professional | $199.17 | $297.58 | $435.11 |