| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.49 | $193.23 | $227.33 | |
HMSA
| Professional | $84.46 | $732.33 | $916.30 | |
Kaiser Permanente
| Professional | $185.23 | $202.07 | $235.75 | |
United
| Professional | $95.14 | $227.33 | $442.38 | |
University Health Alliance
| Professional | $208.57 | $286.93 | $834.20 |