| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $199.53 | $295.12 | |
Cigna
| Professional | $131.83 | $251.19 | $602.56 | |
HMSA
| Professional | $186.21 | $229.09 | $398.11 | |
Kaiser Permanente
| Professional | $128.82 | $251.19 | $354.81 | |
United
| Professional | $120.23 | $204.17 | $331.13 | |
University Health Alliance
| Professional | $39.81 | $151.36 | $316.23 |