| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.59 | $119.19 | $185.51 | |
Cigna
| Professional | $111.07 | $186.40 | $374.07 | |
HMSA
| Professional | $198.17 | $234.34 | $304.08 | |
Kaiser Permanente
| Professional | $98.86 | $186.06 | $255.37 | |
United
| Professional | $149.41 | $228.01 | $292.20 | |
University Health Alliance
| Professional | $123.21 | $1,958.52 | $5,287.00 |