| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $144.54 | $190.55 | |
Cigna
| Professional | $114.82 | $141.25 | $186.21 | |
HMSA
| Professional | $186.21 | $223.87 | $257.04 | |
Kaiser Permanente
| Professional | $114.82 | $158.49 | $204.17 | |
United
| Professional | $147.91 | $173.78 | $213.80 | |
University Health Alliance
| Professional | $29.51 | $128.82 | $194.98 |