| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.44 | $133.44 | $133.44 | |
Cigna
| Professional | $190.76 | $190.76 | $322.60 | |
HMSA
| Professional | $48.27 | $268.32 | $279.33 | |
Kaiser Permanente
| Professional | $216.70 | $236.40 | $246.25 | |
United
| Professional | $265.95 | $286.76 | $333.10 | |
University Health Alliance
| Professional | $231.31 | $298.10 | $522.92 |