| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $234.42 | $436.52 | |
Cigna
| Professional | $151.36 | $275.42 | $724.44 | |
HMSA
| Professional | $239.88 | $281.84 | $426.58 | |
Kaiser Permanente
| Professional | $138.04 | $275.42 | $389.05 | |
United
| Professional | $141.25 | $234.42 | $354.81 | |
University Health Alliance
| Professional | $44.67 | $208.93 | $354.81 |