| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.51 | $199.54 | $269.06 | |
Cigna
| Professional | $117.16 | $233.32 | $453.20 | |
HMSA
| Professional | $152.94 | $181.94 | $344.33 | |
Kaiser Permanente
| Professional | $119.59 | $231.83 | $318.19 | |
United
| Professional | $183.44 | $282.51 | $364.16 | |
University Health Alliance
| Professional | $146.10 | $1,402.00 | $3,725.00 |