| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.05 | $111.17 | $139.79 | |
Cigna
| Professional | $112.59 | $161.22 | $500.59 | |
HMSA
| Professional | $50.01 | $68.53 | $478.79 | |
Kaiser Permanente
| Professional | $403.92 | $440.64 | $514.08 | |
United
| Professional | $162.63 | $325.45 | $544.63 | |
University Health Alliance
| Professional | $302.77 | $387.96 | $523.63 |